Individual provider Active NPI

Timothy L. Swift, PA-C

  • Physician Assistant
  • Lock Haven, PA
National Provider Identifier
1922056852
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051728 Issued in PA
Practice address
955 Bellefonte Ave
Lock Haven, PA 17745-3033
Phone
(570) 748-7714
Fax
(570) 893-6325
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051728 PA Primary

Addresses

Primary practice location

955 Bellefonte Ave
Lock Haven, PA 17745-3033

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tswift81906@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000949 PA Practitioner - Physician Assistant 1850364985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

10 Choate Cir
Montoursville, PA 17754-9791
Phone (570) 368-5566

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

68 Spring St
Lock Haven, PA 17745-1911
Phone (800) 230-4565

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051728PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Sep 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2008 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Sep 1, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

224 N Logan Blvd
Burnham, PA 17009
Phone (717) 242-0196

100 N Academy Ave
#43
Danville, PA 17822
Phone (570) 271-6304

100 N Academy Ave
Danville, PA 17822

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

68 Spring St
Lock Haven, PA 17745
Phone (570) 263-5830

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

780 Broad St
Montoursville, PA 17754
Phone (570) 368-2870

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1922056852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BELLEFONTE AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453033",
            "telephone_number": "570-748-7714",
            "fax_number": "570-893-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "TIMOTHY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tswift81906@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "955 Bellefonte Ave",
            "city": "Lock Haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177453033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.