Timothy R Halstead, P.A.-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

50001298 Issued in OH

Practice address

703 Tyler St. Suite 252
Sandusky, OH 44870

Phone

(419) 609-8000

Fax

(419) 609-8002

NPI assigned

May 27, 2005

Last updated

Sep 7, 2012By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H.B. Magruder Memorial Hospital

  dba Magruder Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  Medicare reassignment NPD
• Fairfield Healthcare Professionals Inc

  dba Fairfield Psychiatric Services

  • Psychiatry Physician
  • Lancaster, OH
  • NPI 1255372215
  NPD (past)
• Fairfield Healthcare Professionals, Inc.

  dba Fairfield Medical Urgent Care

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD (past)
• Lakeside Heart and Lung Center, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sandusky, OH
  • NPI 1417030982
  NPD (past)
• Ohio Heart Thoracic and Vascular Surgery, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, OH
  • NPI 1891820262
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1952304651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 TYLER ST. SUITE 252",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-609-8000",
            "fax_number": "419-609-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TYLER ST. SUITE 252",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-609-8000",
            "fax_number": "419-609-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50001298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gerard Haladay, MD
• Tara N Haley, PT
• Anthony Burl Hall, RPH
• Beth Ann Hall, LPN
• Brian W Hall, PT
• Traci Michelle Hamilton, D.C.
• Jacqueline S. Hamler
• April M Hamlin, PT
• Matthew David Hamlin, PT, ATC
• Zachary Hammersmith

• Surgical Physician Assistant in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Surgical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.