TIMOTHY WARREN DODGE (NPI# 1508978115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508978115 |
| Entity Type | Individual |
| Full Name | TIMOTHY WARREN DODGE |
| Credential | MIT |
| Practice Address |
76 Veterans Ave Bath NY 14810-0810 |
| Mailing Address |
5127 State Route 248 Canisteo NY 14823-9793 |
| Practice Telephone | 6076644615 |
| Mailing Telephone | 6076984604 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598926362 | Timothy Dean Dodge | Psychologist | 18975 W 115th Ter, Olathe, KS 66061-6542 | 2008-06-24 |
| Street Address |
76 VETERANS AVE |
| City | BATH |
| State | NY |
| Zip Code | 14810-0810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332175 | Michael Alan Talone | Physician Assistant | 76 Veterans Ave, Bath Va Medical Center, Bath, NY 14810-0810 | 2005-11-01 |
| 1891305702 | Amanda C Strobel | Social Worker | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-08-05 |
| 1104446533 | Lyndsey Stillman | Social Worker | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-04-27 |
| 1669091997 | Jennifer Lampman | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-04-16 |
| 1487205993 | Shirleen Bennett | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-09-25 |
| 1366094914 | Krysta Ann Clark | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-07-14 |
| 1386206837 | Nakita Natay Simons | Social Worker | 76 Veterans Ave, Bath, NY 14810-0840 | 2019-07-05 |
| 1831758796 | Deborah Elaine Strong | Nurse Practitioner | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-06-13 |
| 1295209856 | Sandra Lee Hill | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-01-17 |
| 1679047351 | Kimberly Ann Feehan | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 1790186872 | Aspirehope Ny, Inc. | Respite Care | 25 West Steuben St., Bath, NY 14810 | 2014-09-09 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1841506003 | Syed M.a. Ehtisham | Orthopaedic Surgery | 7124 Snyder Hill Road, Bath, NY 14810 | 2010-08-26 |
| 1316278831 | Sandra D Martins-skolny | Physical Therapist | 111 Williamson Terrace, Nt, Bath, NY 14810 | 2010-01-22 |
| 1417188947 | Steuben County Office for The Aging | Public Health or Welfare | 3 East Pulteney Sq, Bath, NY 14810 | 2009-07-31 |
| 1619115870 | Judy Ann Thompson | Licensed Practical Nurse | 15 Geneva Street, Bath, NY 14810 | 2009-01-27 |
| 1407020100 | Cathleen A Russell | Licensed Practical Nurse | 6842 Craig Road, Bath, NY 14810 | 2008-04-15 |
| 1952572356 | Institute for Human Services | Case Management | 6666 County Road 11, Bath, NY 14810 | 2008-03-13 |
| 1073791984 | Gerri Ellen Brink | Licensed Practical Nurse | 5635 Tamarack Ln, Bath, NY 14810 | 2008-02-01 |
| Find all providers in zip 14810 | ||||
| Taxonomy Code | 246W00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Cardiology |
| An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972847226 | Eg Imaging Inc | Technician, Cardiology | 143 Burrs Ln, Dix Hills, NY 11746-6052 | 2012-11-26 |
| 1083990386 | Mboya D Jeffers | Technician, Cardiology | 369 E 35th St, Brooklyn, NY 11203-5001 | 2011-10-31 |
| 1548494677 | Gilbert C Carlevaro Jr. | Technician, Cardiology | 43 Leonard St, Haverstraw, NY 10927-1540 | 2009-05-04 |
| 1225226871 | Onsite Cardiac Imaging PC | Technician, Cardiology | 40 Memorial Hwy, Suite 20n, New Rochelle, NY 10801-8312 | 2007-10-09 |
| 1174570675 | Jaroslaw J Fedorowski | Technician, Cardiology | 200 Buell Rd, Suite 10, Rochester, NY 14624-3134 | 2006-05-28 |
| 1982212098 | Aimee Marie Layton | Technician, Cardiology | 3959 Broadway Fl 7, New York, NY 10032-1559 | 2020-07-15 |
| 1730679879 | Richard W Glaim | Technician, Cardiology | 12 Brookside Dr, Saratoga Springs, NY 12866-6302 | 2018-05-15 |
| 1023539053 | Rhythm Management Group Corp | Technician, Cardiology | 300 Cadman Plz W Fl 12, Brooklyn, NY 11201-3226 | 2017-06-29 |
| 1174866008 | Franklin Square Cardiac Diagnostics, PC | Technician, Cardiology | 407 Franklin Ave, Franklin Square, NY 11010-1227 | 2013-03-28 |
| 1033498274 | Clear Diagnostic Solutions Inc | Technician, Cardiology | 21455 Jamaica Ave, Queens Village, NY 11428-1733 | 2011-08-05 |
| Find all providers with the same taxonomy | ||||
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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.