TIMOTHY DEAN MINNIEAR (NPI# 1295981702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295981702 |
| Entity Type | Individual |
| Full Name | TIMOTHY DEAN MINNIEAR |
| Credential | M.D. |
| Practice Address |
51 N Dunlap St Memphis TN 38105-4625 |
| Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
| Practice Telephone | 9012877337 |
| Mailing Telephone | 9012875594 |
| Mailing Fax Number | 9012876804 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
40433 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 23116 | MS | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
40433 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3674 Goodman Rd E, Southaven, MS 386726402 | 6628907747 | 6628903566 |
| 848 Adams Ave, Memphis, TN 381032816 | 9012877337 |
| Street Address |
51 N DUNLAP ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173446 | Dawn Heather Scott | Pediatrics | 51 N Dunlap St, Ste 410, Memphis, TN 38105-4625 | 2005-06-09 |
| 1730732637 | Megan Leeann Parker | Genetic Counselor, MS | 51 N Dunlap St, 4th Fl, Memphis, TN 38105-2802 | 2019-07-19 |
| 1881254290 | Tara Karr | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-06-18 |
| 1912565300 | Ashley Marie Kilpatrick | Dietitian, Registered | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-05-31 |
| 1811454291 | Cady Danielle Burcham | Nurse Practitioner | 51 N Dunlap St, Memphis, TN 38105-4625 | 2019-02-21 |
| 1154861219 | Ut Medical Group, Inc. | General Acute Care Hospital | 51 N Dunlap St, Neonatal Intensive Care Unit, Memphis, TN 38105-4625 | 2017-03-08 |
| 1669911756 | Jenny R. Strelsin | Nurse Practitioner | 51 N Dunlap St, 2nd Floor, Memphis, TN 38105-4625 | 2017-02-22 |
| 1437608114 | Sarah Carter | Registered Nurse | 51 N Dunlap St, Memphis, TN 38105-4625 | 2016-09-23 |
| 1699221028 | Meredith Canale | Registered Nurse | 51 N Dunlap St, Suite 400, Memphis, TN 38105-4625 | 2016-08-26 |
| 1871955351 | Sharon Hogue | Nurse Practitioner | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2016-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053666453 | Akinobu Kamei | Pediatrics | 262 Danny Thomas Pl # Ms 320, Memphis, TN 38105-3678 | 2012-07-21 |
| 1770036915 | Sarah Habbal | Pediatrics | 262 Danny Thomas Pl, Mail Stop 320, Memphis, TN 38105-3678 | 2016-07-24 |
| 1093129827 | Diego Raul Hijano | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105 | 2014-06-19 |
| 1104173384 | Joshua Wolf | Pediatrics | 262 Danny Thomas Pl, Mailstop 320, Memphis, TN 38105-3678 | 2012-08-07 |
| 1467774844 | Maria Alejandra Carrillo-marquez | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2010-02-25 |
| 1184835837 | Bindiya Bagga | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2007-05-24 |
| 1528283819 | Gabriela Maria Maron | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2007-04-13 |
| 1770707234 | Isao Miyairi | Pediatrics | 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-04-13 |
| 1972550432 | Patricia Joan Chesney | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-30 |
| 1083671168 | John P Devincenzo | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
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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.