MICHAEL T. TIMM (NPI# 1053462978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053462978 |
| Entity Type | Individual |
| Full Name | MICHAEL T. TIMM |
| Credential | PA-C |
| Practice Address |
1504 Huron Trl Plano TX 75075-6824 |
| Mailing Address |
Po Box 2550 Rowlett TX 75030-2550 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 2147640880 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00975 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | PA00975 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245202399 | Michael R Timm | Physician Assistant | 640 Jackson St, Mc 11503j, St Paul, MN 55101-2502 | 2006-02-03 |
| Street Address |
1504 HURON TRL |
| City | PLANO |
| State | TX |
| Zip Code | 75075-6824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1396223905 | Wheelock Surgical Assist Pllc | Physician Assistant | 3104 Rockbrook Dr, Plano, TX 75074-4625 | 2018-08-06 |
| 1023512282 | Pas Services Pllc | Physician Assistant | 2805 Dallas Pkwy Ste 640, Plano, TX 75093-8724 | 2018-03-22 |
| 1235658717 | Devyn Lambell | Physician Assistant | 7000 W Plano Pkwy Ste 200, Plano, TX 75093-8490 | 2017-09-15 |
| 1932507746 | Nspa of Texas, LLC | Physician Assistant | 5701 Lois Ln, Plano, TX 75024-5840 | 2014-12-10 |
| 1073740080 | Gabriel Ray Schlebach | Physician Assistant | 3901 W. 15th, Plano, TX 75070-5169 | 2009-06-17 |
| 1063475903 | Devin Keith Mccoy | Physician Assistant | 1600 Coit Rd Ste 104, Plano, TX 75075 | 2006-04-11 |
| 1609837871 | Samantha Parnell | Physician Assistant | 2313 Parkhaven Dr, Plano, TX 75075-2014 | 2006-03-29 |
| 1114534484 | David Timothy Morris | Physician Assistant | 5228 W Plano Pkwy, Plano, TX 75093-5005 | 2020-09-30 |
| 1245870393 | Surgical Pa LLC | Physician Assistant | 5880 Ashmill Dr Ste 200, Plano, TX 75024-0031 | 2020-01-07 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.