Timothy George Duckett

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35060405 Issued in OH

Practice address

999 Illinois Ave
Maumee, OH 43537-1715

Phone

(419) 893-5591

Fax

(419) 893-0162

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MI2 enrollments

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 2

Specialty

General Surgery

Education

Medical College of Ohio, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians

Northwest Surgical Specialists, Inc.Group PAC ID 2062446677, 4 clinicians

FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
• Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.duckett@nws.eclinicaldirectplus.com
• Direct secure messaging: timothy.duckett@henrycountyhospital.medicity.net
• Direct secure messaging: timothy.duckett@fultoncounty.medicity.net

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.

• FCHC Medical Care, LLC

  • Multi-Specialty Clinic/Center
  • Wauseon, OH
  • NPI 1598821175
  Medicare reassignment Care Compare group NPD
• Henry County Hospital Inc

  • Critical Access Hospital
  • Napoleon, OH
  • NPI 1407880909
  Medicare reassignment Care Compare group NPD
• Northwest Surgical Specialists, Inc.

  • Specialist
  • Maumee, OH
  • NPI 1568489516

  MI

  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fulton County Health Center

  • Critical Access Hospital
  • Wauseon, OH
  • NPI 1548279714
  Care Compare affiliation
• Henry County Hospital Inc

  • Critical Access Hospital
  • Napoleon, OH
  • NPI 1407880909
  Care Compare affiliation
• Medical University of Ohio at Toledo

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1902880602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ILLINOIS AVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371715",
            "telephone_number": "419-893-5591",
            "fax_number": "419-893-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ILLINOIS AVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371715",
            "telephone_number": "419-893-5591",
            "fax_number": "419-893-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "TIMOTHY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35060405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0991306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS. Deshmukh & Cichocki, Inc.
• DRS. Detrick & Detrick Inc.
• DRS. Frankel & Puhl LLC
• Drugstore Solutions Inc
• Kyle Jordan Duckett, D.O.
• Olivia Dunbar, LISW-S
• Christina Lynn Dunlap, RN
• Rachel Lynn Dunn, M.A. CCC-SLP
• Roye King Durden Jr., MSW LSW
• Lindesy Eagleston

• Surgery Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.