Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy John Carpenter, PA-C

Individual provider Medical Physician Assistant · NPI 1801566401

Timothy John Carpenter, PA-C is a Physician Assistant in Hastings, Michigan. Qualified in 2021, 5 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1009 W Green St
Hastings, MI 49058-1790
Phone: (219) 738-5510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8333 Felch St, Zeeland, MI 49464-1600 — (866) 703-2452

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1801566401
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2021
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address4100 Embassy Dr Se, Grand Rapids, MI 49546-2416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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