DR. TIMOTHY JEREMIAH HORGAN III (NPI# 1790166726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790166726 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JEREMIAH HORGAN III |
| Credential | D.O. |
| Practice Address |
88 Medical Group 4881 Sugar Maple Drive, Bldg 830 Wright Patterson Afb OH 45433-5529 |
| Practice Telephone | 9372574784 |
| Practice Fax Number | 9375651091 |
| Mailing Telephone | 9372574784 |
| Mailing Fax Number | 9375651091 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0102205143 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | LL37687 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14 Medical Park, Ste 400, Pediatric Outpatient Center, Columbia, SC 29203 | 8034346155 | 8034346979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326163460 | Timothy M Horgan | Marriage & Family Therapist | 1950 Alameda De Las Pulgas, San Mateo, CA 94403-1222 | 2007-03-20 |
| Street Address |
88 MEDICAL GROUP 4881 SUGAR MAPLE DRIVE, BLDG 830 |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| 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 |
|---|---|---|---|---|
| 1972945418 | Jason T Forbush | Pediatrics | 4881 Sugar Maple Dr Bldg 83088, Wright Patterson Afb, OH 45433-5529 | 2013-07-25 |
| 1538554308 | Luisa Sandoval | Pediatrics | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2015-03-30 |
| 1902210404 | Bryan John Jacobs | Pediatrics | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2014-06-12 |
| 1235426776 | Damien C Morgan | Pediatrics | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2011-07-05 |
| 1225353709 | Neha Patel | Pediatrics | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2010-03-29 |
| 1659345510 | Rees Livingston Lee II | Pediatrics | 4881 Sugar Maple Dr, Wpafb Medical Center, Wright Patterson Afb, OH 45433-5529 | 2006-02-15 |
| 1952397242 | Brantly Baynes | Pediatrics | 4881 Sugar Maple Dr, 88 Mdg/sgh2, Wright Patterson Afb, OH 45433-5546 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237968 | Greater Cleveland Pediatrics | Pediatrics | 3311 Richmond Rd, Beachwood, OH 44122-4195 | 2020-08-31 |
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1447879200 | Amy C Buck | Pediatrics | 30 Kim Ct W, Westerville, OH 43081-2554 | 2020-04-13 |
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477022606 | Anthony George Pucell | Pediatrics | 1120 Gordon Rd, Lyndhurst, OH 44124-1335 | 2018-11-16 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
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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.