Active NPI
Timothy J Heyd, M.D.
- Family Medicine Physician
- Lebanon, OH
National Provider Identifier
1922001437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34063863H
- Practice address
- 416 S East St
Lebanon, OH 45036-2378 - Phone
- (513) 695-1228
- Fax
- (513) 695-2941
- NPI assigned
- May 30, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34063863H | OH | Primary |
Addresses
Primary practice location
416 S East St
Lebanon, OH 45036-2378
Mailing address
9549 Montgomery Rd 100
Cincinnati, OH 45242-7238
Phone (513) 489-3737
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164398 | Medicaid | OH | |
| 000000374073 | Other | OH | UNICARE |
| 000000374073 | Other | OH | ANTHEM |
| 421534506091 | Other | OH | CARESOURCE |
| 4262626 | Other | OH | AETNA |
| D6386303 | Other | ND | HUMANA/CHOICECARE |
| 080188836 | Other | OH | RAILROAD MEDICARE |
| 203006 | Other | OH | NATIONWIDE HEALTH PLAN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34063863H | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren County | Past | Accepting new patients | |
| Alliance Physicians Inc | Family Medicine | Past | Accepting new patients |
| Edelstein Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Physical Therapy Clinic/Center
- Cincinnati, OH
- NPI 1154502409
-
- Public Health or Welfare Agency
- Lebanon, OH
- NPI 1326108838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447891200000",
"number": "1922001437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9549 MONTGOMERY RD 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427238",
"telephone_number": "513-489-3737",
"fax_number": "513-984-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 S EAST ST",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362378",
"telephone_number": "513-695-1228",
"fax_number": "513-695-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYD",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2015-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34063863H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164398",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000374073",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000374073",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "421534506091",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4262626",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICECARE",
"identifier": "D6386303",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080188836",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE HEALTH PLAN",
"identifier": "203006",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.