Active NPI
Timothy Hedlund, D.O.
- Family Medicine Physician
- Aliquippa, PA
National Provider Identifier
1962469676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS008717L
- Practice address
- 99 Autumn St
Suite 101
Aliquippa, PA 15001-1301 - Phone
- (724) 375-3199
- Fax
- (724) 375-5858
- NPI assigned
- Apr 27, 2006
- 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 | OS008717L | PA | Primary |
Addresses
Primary practice location
99 Autumn St
Suite 101
Aliquippa, PA 15001-1301
Mailing address
99 Autumn St
Suite 101
Aliquippa, PA 15001-1301
Phone (724) 375-3199
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015843990002 | Medicaid | PA | |
| 0244793 | Medicaid | OH | |
| 204240 | Other | PA | UPMC |
| 862674 | Other | PA | BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008717L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1962469676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 AUTUMN ST",
"address_2": "SUITE 101",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011301",
"telephone_number": "724-375-3199",
"fax_number": "724-375-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 AUTUMN ST",
"address_2": "SUITE 101",
"city": "ALIQUIPPA",
"state": "PA",
"postal_code": "150011301",
"telephone_number": "724-375-3199",
"fax_number": "724-375-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDLUND",
"first_name": "TIMOTHY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS008717L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015843990002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0244793",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "204240",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "862674",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.