TIMOTHY DAUM (NPI# 1700832615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301051582 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4100 Lake Dr Se, Suite 200, Grand Rapids, MI 495468292 | 6169498244 |
Street Address |
2122 HEALTH DR SW |
City | WYOMING |
State | MI |
Zip Code | 49519-9698 |
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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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 |
Find all providers in zip 49519 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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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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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.