DR. TIMOTHY EARL KING (NPI# 1215963202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215963202 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY EARL KING |
| Credential | MD |
| Practice Address |
11456 Broadway Crown Point IN 46307-7106 |
| Mailing Address |
425 Joliet St Suite 400 Dyer IN 46311-1765 |
| Practice Telephone | 2194880154 |
| Practice Fax Number | 2196611408 |
| Mailing Telephone | 2194880165 |
| Mailing Fax Number | 2198655401 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01025676A | IN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
036097585 | IL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01025676A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100113830B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153508 | Timothy King | Nurse Anesthetist, Certified Registered | 672 Brevard Cir, Pickerington, OH 43147-7875 | 2020-01-13 |
| 1619296670 | Timothy Edward King | Family Medicine | 202 Arkansas St, Poteau, OK 74953-2920 | 2010-05-28 |
| 1780847608 | Timothy Ray King | Counselor | 1303 W Maple St Ste 103, North Canton, OH 44720-2858 | 2008-07-10 |
| 1154547917 | Timothy L King | Psychologist | 1078 Taylorsville Rd, Washington Crossing, PA 18977-1316 | 2007-04-18 |
| 1861514986 | Timothy Wells King | Plastic Surgery | 2850 Cahaba Rd Ste 100, Mountain Brk, AL 35223-2345 | 2007-04-06 |
| 1033131362 | Timothy Mark King | Dentist | 17700 N Us Highway 281, Suite 320, San Antonio, TX 78232-1404 | 2006-07-24 |
| 1508495920 | Timothy Herbert King | Student in an Organized Health Care Education/Training Program | 225 Clearfield Ave, Virginia Beach, VA 23462-1815 | 2020-04-07 |
| 1154865160 | Timothy David King | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2016-12-09 |
| 1316315336 | Timothy King | Behavioral Analyst | 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 | 2015-09-08 |
| 1497130496 | Timothy King | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2015-07-21 |
| Street Address |
11456 BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821022146 | Shreyasi H. Dalal | Anesthesiology | 11456 Broadway, Crown Point, IN 46307-7106 | 2006-07-11 |
| 1457387078 | Advanced Pain and Anesthesia Consultants, PC | Anesthesiology | 11456 Broadway, Crown Point, IN 46307-7106 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
| 1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
| 1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.