MR. TIMOTHY JAMES WOOD (NPI# 1811258551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811258551 |
Entity Type | Individual |
Full Name | MR. TIMOTHY JAMES WOOD |
Credential | TLPC |
Practice Address |
623 E Main St Fremont MI 49412-9757 |
Mailing Address |
623 E Main St Po Box 67 Fremont MI 49412-9757 |
Practice Telephone | 2319242401 |
Practice Fax Number | 2319242407 |
Mailing Telephone | 2319242401 |
Mailing Fax Number | 2319242407 |
Enumeration Date | 2012-05-30 |
Last Update Date | 2013-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401013041 | MI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831338227 | Timothy J Wood | Counselor | 313 Manning Dr, Charlotte, NC 28209-3435 | 2009-02-10 |
1013193168 | Timothy P Wood | Licensed Practical Nurse | 4093 W College Ave, Milwaukee, WI 53221-4544 | 2008-01-18 |
1205814712 | Timothy Clifton Wood | Dermatology | 480 Glessner Ave, Mansfield, OH 44903-2056 | 2006-01-04 |
1861960874 | Timothy C. Wood | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2018-11-07 |
1831609387 | Timothy Brian Wood | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462-2167 | 2017-10-10 |
1508236829 | Timothy Wood | Licensed Practical Nurse | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2015-09-29 |
1356718522 | Timothy Wood | Pharmacist | 2080 Nw 9th St, Corvallis, OR 97330-1484 | 2015-08-24 |
1902285000 | Timothy Brad Wood | Obstetrics & Gynecology | 1505 W Elk Ave Ste 1, Elizabethton, TN 37643-2848 | 2015-05-21 |
1760696900 | Timothy Andrew Wood | Internal Medicine | 800 E 28th St, Mail Code 11326, Minneapolis, MN 55407-3723 | 2007-05-09 |
1770596769 | Timothy J Wood | Physician Assistant | 8891 Central Ave, Montclair, CA 91763-1618 | 2006-08-14 |
Street Address |
623 E MAIN ST |
City | FREMONT |
State | MI |
Zip Code | 49412-9757 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295135192 | Michelle Elizabeth Glasgow | Counselor | 623 E Main St, Fremont, MI 49412-9757 | 2014-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
Find all providers in zip 49412 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558862300 | Alessandra Cindy Diaz | Counselor | 34822 Candice Ct, Fremont, CA 94555-2400 | 2018-02-27 |
1396780896 | Riggins & Associates Counseling Services Inc | Counselor | 230 East 22nd Street, Suite 3, Fremont, NE 68025 | 2006-06-18 |
1659315539 | Meadow Marie Scott | Counselor | 415 E 23rd St, Suite 205, Fremont, NE 68025-2393 | 2006-06-15 |
1295135192 | Michelle Elizabeth Glasgow | Counselor | 623 E Main St, Fremont, MI 49412-9757 | 2014-08-27 |
1720328586 | Jacqueline C Bowerman | Counselor | 675 Bartson Rd, Fremont, OH 43420-9672 | 2013-02-15 |
1861705188 | Shannon Elyse Stovall | Counselor | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2010-07-15 |
1568788289 | Tammy M. Elling | Counselor | 675 Bartson Rd, Fremont, OH 43420-9672 | 2010-04-20 |
1568656528 | Michelle A Ross | Counselor | 2 W Main St, Fremont, MI 49412-1136 | 2007-09-04 |
1265640445 | Catherine Saeger | Counselor | 1627 E Military Ave, Suite 200, Fremont, NE 68025-5490 | 2007-05-19 |
1952518722 | Timothy M. Wise | Counselor | 675 Bartson Rd, Fremont, OH 43420-9672 | 2007-05-17 |
Find all providers in FREMONT |
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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.