Physician Compare National (NPI:1487714606)

HEALTHCARE PROVIDER: TIM ARTHUR BEIDELSCHIES MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487714606
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688751340
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080404000272
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BEIDELSCHIES
	Individual professional last name
Provider First Name	TIM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF OHIO
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	217 N COUNTYLINE ST
	Group Practice or individual's line 1 address
City	FOSTORIA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	448301767
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4194351894
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	361318
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FOSTORIA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360095
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BLANCHARD VALLEY REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360156
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	360259
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BAY PARK COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1487714606)

HEALTHCARE PROVIDER: TIM ARTHUR BEIDELSCHIES MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information