TIMOTHY WILBURN (NPI# 1730550567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730550567 |
| Entity Type | Individual |
| Full Name | TIMOTHY WILBURN |
| Credential | CPHT |
| Practice Address |
721 Highway 321 N Lenoir City TN 37771-5003 |
| Mailing Address |
171 Cory Drive Apt 324 Lenoir City TN 37771-8577 |
| Practice Telephone | 8659880000 |
| Practice Fax Number | 8659861542 |
| Mailing Telephone | 4235190117 |
| Mailing Fax Number | 8659861542 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 41357 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
721 HIGHWAY 321 N |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37771-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467447425 | David N Montgomery | Optometrist | 721 Highway 321 N, Ste 3, Lenoir City, TN 37771-5003 | 2005-09-15 |
| 1679026116 | Tarah R Slusher | Pharmacist | 721 Highway 321 N, Lenoir City, TN 37771-5003 | 2016-08-02 |
| 1558732743 | Paul Martin | Pharmacist | 721 Highway 321 N, Lenoir City, TN 37771-5003 | 2015-10-13 |
| 1306196530 | Prodigal Primary Care PC | Durable Medical Equipment & Medical Supplies | 721 Highway 321 N, Bld 3, Lenoir City, TN 37771-5003 | 2012-09-14 |
| 1831357532 | Prescription Specialties LLC. | Pharmacy | 721 Highway 321 N, Lenoir City, TN 37771-5003 | 2008-05-29 |
| 1982760229 | Eye Care Centers Pllc | Ophthalmology | 721 Highway 321 N, Ste 3, Lenoir City, TN 37771-5003 | 2006-12-29 |
| 1801836465 | Richard C. Free | Nurse Practitioner | 721 Highway 321 N, Suite C, Lenoir City, TN 37771-5003 | 2006-06-08 |
| 1275599078 | Jodi` P Nowell | Pharmacist | 721 Highway 321 N, Lenoir City, TN 37771-5003 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
| 1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
| 1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
| 1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
| 1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
| 1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
| 1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
| Find all providers in zip 37771 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594674 | Alphonso Harvey | Technician, Other | 810 Dominican Dr # 223, Nashville, TN 37228-1906 | 2019-02-11 |
| 1548700347 | Terminix International | Technician, Other | 860 Ridge Lake Blvd, Mailstop B2-4092, Memphis, TN 38120-9434 | 2017-02-28 |
| 1871044073 | Amelia Dressel | Technician, Other | 9051 Executive Park Dr Ste 302, Knoxville, TN 37923-4627 | 2016-10-22 |
| 1356896914 | Daniel Hekman | Technician, Other | 1710 E 12th St, Chattanooga, TN 37404-4302 | 2016-08-23 |
| 1780139832 | Jenny Lindemann | Technician, Other | 2623 Holly Rock Dr, Clarksville, TN 37040-2828 | 2016-08-18 |
| 1003267717 | Devonja Harris | Technician, Other | 539 E Chester St, Jackson, TN 38301-7062 | 2016-06-23 |
| 1366806648 | Alicia Therese Flanery | Technician, Other | 770 Needmore Rd, Apt 22, Clarksville, TN 37040-6275 | 2016-04-12 |
| 1730568098 | Blythe Valencia Reich | Technician, Other | 238 Village Sq, Suite 300, Pleasant View, TN 37146-7178 | 2015-05-20 |
| 1124414586 | Elizabeth Marmande | Technician, Other | 1709b Nassau St, Nashville, TN 37208-2103 | 2015-04-13 |
| 1275929788 | David Reichley | Technician, Other | 2134 14th Ave N, Nashville, TN 37208-1113 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LENOIR CITY |
| Zip Code | 37771 |
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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.