Active NPI
Timothy Francis, PA
- Physician Assistant
- Port Charlotte, FL
National Provider Identifier
1902859739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103564
- Practice address
- 2335 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (855) 979-5700
- Fax
- (855) 979-5701
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103564 | FL | Primary |
Addresses
Primary practice location
2335 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
3434 Hancock Bridge Pkwy Ste 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00318960 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009408 | NY | MD | Mental Health Counselor |
| PA9103564 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Light House Calls, LLC | Current | Accepting new patients | |
| Cape Coral Emergency Physicians | Past | Accepting new patients | |
| All X Ray Diagnostic Services Corp | Physician Assistant | Past | Accepting new patients |
| MM Medical Service PC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Beacon Falls, CT
- NPI 1790635597
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1225093941
-
- Specialist
- Forest Hills, NY
- NPI 1104281286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1902859739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 HANCOCK BRIDGE PKWY STE 301",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339037099",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "855-979-5700",
"fax_number": "855-979-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "TIMOTHY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00318960",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.