Individual provider Active NPI

Tim Paden, M.D.

  • Family Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1992761555
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-7515 Issued in AR
Practice address
405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone
(870) 425-3030
Fax
(870) 508-8135
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-7515 AR Primary

Addresses

Primary practice location

405 Buttercup Dr
Mountain Home, AR 72653-2910

Mailing address

405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone (870) 425-3030

Other identifiers 1

IdentifierTypeStateIssuer
119035001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001418 AR Practitioner - Family Practice 4587740725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Springs Senior Living, LLCGroup PAC ID 1456708999, 12 clinicians

Practice addresses (Care Compare)

115 N College St
Mountain Home, AR 72653-3651
Phone (870) 232-0540

Hospital & facility affiliations

  • Hiram Shaddox Health and Rehab Nursing home, Mountain Home, AR, CCN 045471

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-7515ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Paden Medical Group PLLC Family Medicine CurrentSince Jan 1, 1994 Accepting new patients
Sycamore Springs Senior Living, LLC CurrentSince Oct 2, 2023 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
All Together Home Care. LLC PastSince Feb 12, 2023 Accepting new patients
Family Medical Supply, Inc. PastSince Oct 2, 2023 Accepting new patients

Locations

115 N College St
Mountain Home, AR 72653
Phone (870) 232-0540

405 Buttercup Dr
Mountain Home, AR 72653
Phone (870) 425-3030

14 Medical Plz
Ste 2
Mountain Home, AR 72653
Phone (870) 232-5315

Interoperability endpoints

  • Direct secure messaging: timothy.paden.1@30068.direct.athenahealth.com

Organizations & group practices 5

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 1

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1992761555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532910",
            "telephone_number": "870-425-3030",
            "fax_number": "870-508-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BUTTERCUP DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532910",
            "telephone_number": "870-425-3030",
            "fax_number": "870-508-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-7515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119035001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.