DR. TIMOTHY P MICHALS JR. (NPI# 1164620464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164620464 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY P MICHALS JR. |
| Credential | M.D. |
| Practice Address |
1420 East College Drive Affiliated Community Medical Centers Marshall MN 56258 |
| Practice Telephone | 5075329631 |
| Practice Fax Number | 5075321176 |
| Mailing Telephone | 5075329631 |
| Mailing Fax Number | 5075321176 |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 53817 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036129518 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 53817 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036129518 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1420 EAST COLLEGE DRIVE AFFILIATED COMMUNITY MEDICAL CENTERS |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216165 | Steven T Meister | Family Medicine | 1420 East College Drive, Marshall, MN 56258 | 2006-02-23 |
| 1881971794 | Resada Kathryn Enberg | Physical Medicine & Rehabilitation | 1420 East College Drive, Marshall, MN 56258-0000 | 2011-11-05 |
| 1316049687 | Susan R Norgaard | Nurse Practitioner | 1420 East College Drive, Affiliated Community Medical Centers, Marshall, MN 56258 | 2006-09-05 |
| 1366475774 | Michael K Anyasike | Family Medicine | 1420 East College Drive, Affiliated Community Medical Centers, Marshall, MN 56258 | 2006-07-09 |
| 1396712758 | Kristin M Wegner | Physician Assistant | 1420 East College Drive, Marshall, MN 56258 | 2006-03-03 |
| 1013984483 | Atul K Mishra | Pediatrics | 1420 East College Drive, Marshall, MN 56258 | 2006-03-03 |
| 1376519652 | Stephanie A Mckee | Family Medicine | 1420 East College Drive, Marshall, MN 56258 | 2006-02-27 |
| 1659347979 | William N Kremer Jr. | Family Medicine | 1420 East College Drive, Marshall, MN 56258 | 2006-02-27 |
| 1790751451 | Jill M Vroman | Family Medicine | 1420 East College Drive, Marshall, MN 56258 | 2006-02-23 |
| 1346216017 | Gary V Skrien | Family Medicine | 1420 East College Drive, Marshall, MN 56258 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
| 1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
| Find all providers in zip 56258 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1235533498 | Jefferson City Medical Group-p C | Internal Medicine | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2014-10-17 |
| 1982949491 | James H. Harris Jr. | Internal Medicine | 6816 Us Highway 59 S, Marshall, TX 75672-4150 | 2012-12-10 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1982818597 | Shannon Martin | Internal Medicine | 830 W. Michigan Avenue, Marshall, MI 49068 | 2007-05-10 |
| 1750494621 | Aziz Ahmad Chaudhry | Internal Medicine | Lincoln & Slater Streets, Marshal Habilitation Center, Marshall, MO 65349 | 2006-08-16 |
| 1336180694 | Thuy-anh Tran | Internal Medicine | 720 Us Highway 27 North, Marshall, MI 49068-9609 | 2006-06-09 |
| 1164469318 | Michael A. Meyer | Internal Medicine | 14900 Us Highway 27 N, Marshall, MI 49068-9651 | 2006-05-31 |
| 1083693097 | Steven Carlos Crayton | Internal Medicine | 304 University Ave Suite 108, Marshall, TX 75670 | 2006-01-10 |
| 1790769297 | Douglas Stephenson | Internal Medicine | 622 S Grove St, Marshall, TX 75670-5219 | 2005-11-30 |
| Find all providers in MARSHALL | ||||
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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.