MR. TIMOTHY ROBERT KILLEEN (NPI# 1730187790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187790 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ROBERT KILLEEN |
| Credential | M.D. |
| Practice Address |
4606 Greenwood Rd Louisville KY 40258 |
| Mailing Address |
Po Box 776351 Suite 305 Chicago IL 60677-6351 |
| Practice Telephone | 5029372209 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25892 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PASSPORT | 1048815 | 01 | |
| KY | 64258924 | 05 | |
| FEDERAL BLACK LUNG | 021102300 | 01 | |
| HUMANA | 611001258 | 01 | |
| ANTHEM | 000000047638 | 01 | |
| IN | 200240660A | 05 | |
| PASSPORT ADVANTAGE | 2432232000 | 01 | |
| KY | MEDICARE PTAN | K307890 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4402 Churchman Ave, Suite 305, Louisville, KY 402151190 | 5023689590 | 5023689616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426849 | Timothy J Killeen | Internal Medicine | 29645 Rancho California Rd, 226, Temecula, CA 92591-5211 | 2006-09-14 |
| Street Address |
4606 GREENWOOD RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972833069 | Lynne Marie Obst | Nurse Practitioner | 4606 Greenwood Rd, Louisville, KY 40258-3726 | 2010-01-12 |
| 1457534000 | Stephanie Peyton Powell | Nurse Practitioner | 4606 Greenwood Rd, Louisville, KY 40258-3726 | 2007-12-06 |
| 1891865952 | Chest Medicine Associates P.s.c. | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258-3726 | 2006-11-08 |
| 1700956869 | Chest Medicine Associates P.s.c. | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258-3726 | 2006-11-08 |
| 1558457796 | William Owen Lacy | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258 | 2006-10-05 |
| 1376639518 | Loran Pete Moore | Internal Medicine | 4606 Greenwood Rd, Louisville, KY 40258-3726 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519810 | Natalie Calhoun | Nursing Care | 6706 Wyckoff Court, Louisville, KY 40258 | 2020-08-20 |
| 1710597075 | Breanna Albright | Nurse Practitioner | 8594 Dixie Highway, Lou, KY 40258 | 2020-08-03 |
| 1528548831 | Assocaites In Pediatric Therapy LLC | Physical Therapist | 3110 Creek Drive, Lousiville, KY 40258 | 2018-08-16 |
| 1972097277 | D & D Dental Enterprises | Clinic/Center | 6790 Dixie Hwy, Louisville, KY 40258 | 2018-06-20 |
| 1295259695 | Antonio Lavelle Booker | Pharmacist | 7500 Terry Road, Louisville, KY 40258 | 2017-07-28 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1700215019 | Anna Solce | Pharmacist | 7338 Dixie Highway, Louisville, KY 40258 | 2013-11-06 |
| 1427147206 | Eric A. Burnett | Internal Medicine | 8019 Dixie Hwy Suite101, Jencare Neighborhood Medical Center Valley Station LLC, Louisville, KY 40258 | 2006-10-12 |
| 1861585531 | Amy B. Farnsworth | Dentist | 7206 Dixie Hwy., Louisville, KY 40258 | 2006-10-02 |
| 1720096951 | Endodontic Associates of Louisville Pllc | Dentist | 7214 Dixie Hwy, Louisville, KY 40258 | 2006-08-03 |
| Find all providers in zip 40258 | ||||
| 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 |
|---|---|---|---|---|
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1437313475 | Alliance Pulmonary Associates Inc | Internal Medicine | 5860 Louisville Street Ne, Louisville, OH 44641 | 2008-07-17 |
| 1902831761 | John Wesley Mcconnell | Internal Medicine | 100 W Market St Ste 2, Louisville, KY 40202-1332 | 2006-07-11 |
| 1992737886 | Tanya A Wiese | Internal Medicine | 4950 Norton Healthcare Blvd Ste 208, Louisville, KY 40241-2847 | 2006-07-07 |
| 1962472738 | Karen Ruth Habenstein | Internal Medicine | 3532 Ephraim Mcdowell Dr, Louisville, KY 40205-3224 | 2006-01-25 |
| 1225030224 | Edwin Carmouche Md Pllc | Internal Medicine | 152 Chenoweth Ln, Louisville, KY 40207-2651 | 2005-08-10 |
| 1831693985 | Harkirat Mann | Internal Medicine | 7926 Preston Hwy, Louisville, KY 40219 | 2018-03-22 |
| 1275949190 | Samantha Baah | Internal Medicine | 3430 Newburg Rd Ste 150, Louisville, KY 40218-2497 | 2014-07-11 |
| 1497185268 | David Tollerud | Internal Medicine | 485 E Gray St, Suite 205a, Louisville, KY 40202-1741 | 2013-11-15 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40258 |
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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.