TIMOTHY DAUM


Address: 2122 Health Dr Sw, Wyoming, MI 49519-9698
Phone: 6162525220

TIMOTHY DAUM (NPI# 1700832615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700832615
Entity Type Individual
Full Name TIMOTHY DAUM
Credential MD
Practice Address 2122 Health Dr Sw
Wyoming
MI 49519-9698
Mailing Address 5900 Byron Center Ave Sw
Medical Administration
Wyoming
MI 49519-9606
Practice Telephone 6162525220
Practice Fax Number 6162525770
Mailing Telephone 6162523243
Mailing Fax Number 6162520260
Enumeration Date 2006-05-25
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
4301051582 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4100 Lake Dr Se, Suite 200, Grand Rapids, MI 495468292 6169498244

Office Location

Street Address 2122 HEALTH DR SW
City WYOMING
State MI
Zip Code 49519-9698

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301038 Larry Jose Diaz Specialist 2122 Health Dr Sw, Wyoming, MI 49519-9698 2005-07-29
1174091730 Sarah Beth Dickinson Nurse Practitioner 2122 Health Dr Sw, Wyoming, MI 49519-9698 2018-11-12
1508341686 Margaret Maureen O'hara Nurse Practitioner 2122 Health Dr Sw, Wyoming, MI 49519-9698 2018-09-25
1194210914 Katelyn Gettel Nurse Practitioner 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 2018-06-25
1184119901 Emily Mccloskey Nurse Practitioner 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 2018-06-25
1174025027 Melissa Pillai Nurse Practitioner 2122 Health Dr Sw, Wyoming, MI 49519 2018-03-07
1497139653 Danielle Rush Nurse Practitioner 2122 Health Dr Sw, Wyoming, MI 49519-9698 2015-07-16
1184015414 Jennifer J Richardson Physician Assistant 2122 Health Dr Sw, Wyoming, MI 49519-9698 2015-02-09
1891101911 Katie Waite Physician Assistant 2122 Health Dr Sw, Wyoming, MI 49519-9698 2014-07-09
1487078465 Chelsea Ann Ellis Physician Assistant 2122 Health Dr Sw, Wyoming, MI 49519-9698 2014-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609364009 Alexandra K Hylen Dentist 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 2018-05-01
1962925685 Nicole Lee Kolasa Rehabilitation Counselor 2038 Melvin St. Sw, Wyoming, MI 49519 2017-07-25
1720534472 Michael Ash Rehabilitation Practitioner 1870 36th Street, Wyoming, MI 49519 2016-08-31
1891248993 Kayleigh Saucier Family Medicine 5900 Byron Center Avenue Se, Wyoming, MI 49519 2016-07-26
1093112799 Wmro LLC Radiology 5950 Metro Way, Wyoming, MI 49519 2014-11-24
1033547658 Maranda Catherine Gary Nurse Practitioner 2122 Health Drive, Wyoming, MI 49519 2013-10-16
1144657800 Diana Ro Psychologist 4211 Parkway Place Sw, #100, Wyoming, MI 49519 2013-09-26
1386077873 Lindsey Elizabeth Chorney Nurse Practitioner 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 2013-08-20
1124377163 Vision and Sensory Center of Michigan LLC Optometrist 4467 Byron Center Ave., Wyoming, MI 49519 2012-09-06
1881940203 Judah Durable Medical Equipment & Medical Supplies 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 2012-08-03
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114094349 Greater Grand Rapids Pulmonary and Critical Care Specialists PC Internal Medicine 2093 Health Dr Sw, #301, Wyoming, MI 49519-9691 2006-11-30
1891735981 Terrance William Barnes Internal Medicine 2122 Health Dr Sw, Wyoming, MI 49519 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912506684 Night Hawk Sleep Systems, Inc. Internal Medicine 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 2020-10-22
1598286262 Younghwa Kwon Internal Medicine 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 2017-07-03
1679949150 Morpheus International Sleep Solutions Pllc Internal Medicine 46472 Crystal Downs W, Northville, MI 48168-8483 2015-08-19
1972928513 Gerald T Pruitt Do Pllc Internal Medicine 350 Whitehills Dr, East Lansing, MI 48823-2758 2014-02-19
1629408315 Pulmonary & Critical Care One PC Internal Medicine 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 2013-11-18
1558630194 Sue Killion Cammarata Internal Medicine 117 Clinton St, South Haven, MI 49090-1201 2011-12-28
1265712012 Pulmonary Specialists of Michigan, PC Internal Medicine 23500 Park St., Suite #3, Dearborn, MI 48124 2011-08-25
1588899595 Michigan Medical Patient Care Internal Medicine 2902 Bradford Street Ne, Grand Rapids, MI 49525 2009-05-19
1275774531 Integrated Geriatric Services Pllc Internal Medicine 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 2009-03-17
1487816419 Advanced Pulmonary & Sleep Associates PC Internal Medicine 1110 N Telegraph Rd, Dearborn, MI 48124-1634 2008-07-01
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Competitor

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City WYOMING
Zip Code 49519

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Dataset Information

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.

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