Individual provider Active NPI

Timothy Francis Garner, M.D.

  • Family Medicine Physician
  • Marion, OH
National Provider Identifier
1902868813
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-051305 Issued in OH
Practice address
241 Executive Dr
Marion, OH 43302-6395
Phone
(740) 387-3256
Fax
(740) 383-4906
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-051305 OH Primary

Addresses

Primary practice location

241 Executive Dr
Marion, OH 43302-6395

Mailing address

241 Executive Dr
Marion, OH 43302-6395
Phone (740) 387-3256

Other identifiers 1

IdentifierTypeStateIssuer
0695805MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000724 OH Practitioner - Emergency Medicine 7416980537 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-051305OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center Street Community Clinic Inc CurrentSince Apr 29, 2019 Accepting new patients
Center Street Community Clinic, Inc CurrentSince Apr 29, 2019 Accepting new patients
Marion Independent Physicians Association, LLC Family Medicine PastSince Jul 4, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

136 W Center St
Marion, OH 43302
Phone (740) 751-4531

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1902868813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026395",
            "telephone_number": "740-387-3256",
            "fax_number": "740-383-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026395",
            "telephone_number": "740-387-3256",
            "fax_number": "740-383-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-051305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0695805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.