DAVID ALAN TIMM (NPI# 1710015318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710015318 |
| Entity Type | Organization |
| Organization Name | DAVID ALAN TIMM |
| Other Organization Name | PEDIATRIC & ADOLESCENT CLINIC |
| Practice Address |
1806 Carter St Vidalia LA 71373-3115 |
| Practice Telephone | 3183367172 |
| Practice Fax Number | 3183367176 |
| Mailing Telephone | 3183367172 |
| Mailing Fax Number | 3183367176 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-12-09 |
| Authorized Official Name | DR. DAVID ALAN TIMM (OWNER) |
| Authorized Official Telephone | 6014427676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD016299 | LA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO4933 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO4870 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208000000X | Pediatrics | 016299 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1021829 | 05 |
| Other Name | Type Code |
|---|---|
| PEDIATRIC & ADOLESCENT CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407025711 | David Alan Timm | Clinic/Center | 1806 Carter Street, Vidalia, LA 71373-3115 | 2008-02-21 |
| 1174608020 | David Alan Timm | Social Worker | 308 Highland Blvd, Natchez, MS 39120-4611 | 2006-10-26 |
| Street Address |
1806 CARTER ST |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871761619 | J Kevin Ingram Medical, Inc | Family Medicine | 1806 Carter St, Vidalia, LA 71373-3115 | 2008-02-14 |
| 1780868760 | Natchez Regional Clinic | Family Medicine | 1806 Carter St, Vidalia, LA 71373-3115 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437218013 | Timothy Caron Horton | Pediatrics | 1702 Meadows Ln Ste A, Vidalia, GA 30474-7220 | 2006-12-08 |
| 1881787570 | James Stewart Gantt | Pediatrics | 1702-b Meadows Lane, Vidalia, GA 30474 | 2006-10-02 |
| 1598767857 | Caryn J. Masterman-smith | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2005-06-01 |
| 1790288413 | Southeast Regional Primary Care Corporation | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2018-03-09 |
| 1326334384 | Lauren Courtney Miller | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2011-06-28 |
| 1447565635 | Marjorie Pringle Turner | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2010-08-11 |
| 1154554392 | Chelsea Boston Tehan | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2009-09-03 |
| 1679705115 | Vidalia Children's Center LLC | Pediatrics | 125 Church Street, Vidalia, GA 30474 | 2009-08-18 |
| 1417184771 | Katrina Mcclane Leshanski | Pediatrics | 125 Church St, Vidalia, GA 30474-4770 | 2009-06-14 |
| 1720134166 | Swayamprabha S Tyagi | Pediatrics | 414 Lugenia Dr, Vidalia, GA 30474-7210 | 2007-01-26 |
| Find all providers in VIDALIA | ||||
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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.