DR. DAVID DONALD TIMM (NPI# 1114121746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114121746 |
Entity Type | Individual |
Full Name | DR. DAVID DONALD TIMM |
Credential | M.D. |
Practice Address |
1721 S Stephenson Ave Iron Mountain MI 49801-3637 |
Practice Telephone | 9067741313 |
Mailing Telephone | 9067741313 |
Enumeration Date | 2007-06-14 |
Last Update Date | 2014-03-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301099873 | MI | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14280 | HI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023194867 | David Alan Timm | Pediatrics | 308 Highland Blvd, Natchez, MS 39120-4611 | 2006-10-27 |
Street Address |
1721 S STEPHENSON AVE |
City | IRON MOUNTAIN |
State | MI |
Zip Code | 49801-3637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720076581 | Vennaralagappan Mahadev | Internal Medicine | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2005-10-06 |
1770199358 | Laura Frances Kent | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2020-09-19 |
1497393102 | Amy Lynn Mayes | Dietitian, Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-12-12 |
1437794153 | Hospitalist Medicine Physicians of Michigan - Tcs, Pllc | Internal Medicine | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-11-18 |
1336790492 | Buck J Darley | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-09-20 |
1538713474 | Matthew L Turner | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-07-29 |
1720540958 | Sadie Sadlowsky Mcgillviray | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-04-05 |
1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
1003388216 | Jennifer Morrow | Nurse Anesthetist, Certified Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
1750850418 | Edward Robert Mathis | Physical Therapist | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-11-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
Find all providers in zip 49801 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487628863 | Emma Cristina Diponio | Radiology | 1115 S Hemlock St, Suite 3, Iron Mountain, MI 49801-3800 | 2006-02-14 |
1194879635 | Northwoods Imaging Associates PC | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801 | 2007-01-22 |
1649359431 | Danilo Paz Zapanta | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2006-11-03 |
1154400935 | Radiology Associates of Iron Mountain, Plc | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2006-11-03 |
1124107917 | Dale Roger Shampo | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2006-11-03 |
1902870363 | Monica Sue Terrian | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801 | 2006-02-14 |
1346214715 | John Stuart To | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801 | 2006-02-14 |
1144294513 | Louis Joseph Mautone | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801 | 2006-02-14 |
1083688469 | Bayani Loy Manzano | Radiology | 1721 S Stephenson Ave, Iron Mountain, MI 49801 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
Find all providers with the same taxonomy |
City | IRON MOUNTAIN |
Zip Code | 49801 |
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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.