DR. TIMOTHY J DEVITT (NPI# 1164475323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164475323 |
Entity Type | Individual |
Full Name | DR. TIMOTHY J DEVITT |
Credential | D.M.D. |
Practice Address |
1116 S College Mall Rd Bloomington IN 47401-6178 |
Practice Telephone | 8123322204 |
Mailing Telephone | 8123322204 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2019-05-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
12010652A | IN | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861840241 | Timothy Devitt | Counselor | 7941 1/2 Blackburn Ave, Los Angeles, CA 90048-4417 | 2016-05-26 |
1346557493 | Timothy S. Devitt | Counselor | 3139 N. Lincoln Ave Ste 222, Chicago, IL 60657 | 2010-09-10 |
1801838784 | Timothy J Devitt | Family Medicine | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 | 2006-06-12 |
Street Address |
1116 S COLLEGE MALL RD |
City | BLOOMINGTON |
State | IN |
Zip Code | 47401-6178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891350575 | Bloomington Oral Surgery | Dentist | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2019-05-07 |
1316988447 | Larry J. Steele | Chiropractor | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
Find all providers in zip 47401 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568878270 | Austin Starr | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2014-07-02 |
1669533964 | Richard J Claydon | Dentist | 107 S Prospect, Bloomington, IL 61704 | 2006-12-12 |
1528166097 | Scott Eric Tate | Dentist | 637 S Walker St, Ste 1, Bloomington, IN 47403-2154 | 2006-09-20 |
1497798136 | Thomas W Gibbs | Dentist | 857 Auto Mall Rd, Bloomington, IN 47440-5447 | 2006-06-13 |
1760461339 | South Central Oral & Maxillofacial Surgery, LLC | Dentist | 2911 E Covenanter Dr, Suite B, Bloomington, IN 47401-6320 | 2006-01-12 |
1710985759 | Drs Doran Capodice Efaw & Ocheltree LLC | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-07-13 |
1356978753 | Starr Oral & Maxillofacial Surgery, LLC | Dentist | 473 S Landmark Ave, Bloomington, IN 47403-5005 | 2020-03-25 |
1891350575 | Bloomington Oral Surgery | Dentist | 1116 S College Mall Rd, Bloomington, IN 47401-6178 | 2019-05-07 |
1841505252 | Bloomington Oral Surgery LLC | Dentist | 857 S Auto Mall Rd, Bloomington, IN 47401-5447 | 2010-08-10 |
1437291895 | Craig Walter Lopatka | Dentist | 2502 E Empire St Ste B, Bloomington, IL 61704-3739 | 2007-02-13 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47401 |
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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.