TIMOTHY E ARCHER (NPI# 1619972148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619972148 |
| Entity Type | Individual |
| Full Name | TIMOTHY E ARCHER |
| Credential | M.D. |
| Practice Address |
1105 6th St Traverse City MI 49684-2349 |
| Practice Telephone | 2319470673 |
| Practice Fax Number | 8017402847 |
| Mailing Telephone | 2319470673 |
| Mailing Fax Number | 8017402847 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301049093 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205814993 | Timothy Frank Archer | Emergency Medicine | 3111 Mccann Rd, Emergency Room, Longview, TX 75605 | 2006-01-04 |
| 1659330447 | Timothy Wayne Archer | Dental Hygienist | 9 Main St, Lincoln, ME 04457-1216 | 2006-03-21 |
| Street Address |
1105 6TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831617 | James D Sitek | Internal Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-14 |
| 1902418437 | Allison Cook | Pharmacist | 1105 6th St, Traverse City, MI 49684-2345 | 2020-08-17 |
| 1326689332 | Joseph Zerka | Pharmacist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-10-01 |
| 1891344545 | Noelle Warren | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-05 |
| 1235788134 | Andrea Kober | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-04 |
| 1932757986 | Lauren Smith | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-03 |
| 1114572880 | Lynne Severt | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-08-08 |
| 1104487214 | David Friedlander | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-28 |
| 1447811161 | Tracey Lynn Gray | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-24 |
| 1164083895 | Jami Lynn Cooke | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973389 | Sara L Roth | Emergency Medicine | 1105 6th Street, Traverse City, MI 49684 | 2006-02-27 |
| 1154764348 | Brandi Jenks Gunn | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2345 | 2013-04-08 |
| 1306084405 | Patient Care Specialists Plc | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2345 | 2009-01-27 |
| 1790769669 | Indigo Services, Plc | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-12-02 |
| 1649276759 | John B Schroeder | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-23 |
| 1174529606 | Richard G Faller | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-21 |
| 1497751929 | Julie K Johnson | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-21 |
| 1730185273 | Marc S Krakow | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-21 |
| 1619973153 | Mark A Mikula | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-21 |
| 1225034762 | Curt M Mikulski | Emergency Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-21 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on TIMOTHY E ARCHER.
| 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.