TIMOTHY M SHELLEY (NPI# 1821066804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821066804 |
| Entity Type | Individual |
| Full Name | TIMOTHY M SHELLEY |
| Credential | MD |
| Practice Address |
1400 Bellinger St Eau Claire WI 54703-5222 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7158385222 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2009-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
24418 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30445100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762047 | Timothy Dane Shelley | Optometrist | 3287 Court St, Pekin, IL 61554-6208 | 2005-09-30 |
| Street Address |
1400 BELLINGER ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456848 | Ganesh Ram | Physician Assistant | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2005-06-13 |
| 1467050807 | Rachel E Ciresi | Physical Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-10-16 |
| 1427668805 | Taran Allan Brody | Speech-Language Pathologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-07-31 |
| 1720608300 | John Anthony Zadroga | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-23 |
| 1982223541 | Michelle Botts Olson | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-14 |
| 1003435728 | Sarah Hotovy | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-13 |
| 1730708520 | Sasha Marie Ulrich | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-11 |
| 1134757248 | Rajani Kasana | Family Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-04-01 |
| 1902439813 | Jessica Ewing | Nurse Practitioner | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-19 |
| 1366075756 | Kayla Sue Meixner | Occupational Therapist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1073755468 | Lon Allen Blaser | Internal Medicine | 3304 Evergreen Ln, Eau Claire, WI 54701-5912 | 2009-03-31 |
| 1508014218 | Rahul Sehgal | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2008-09-05 |
| 1841231727 | Gina Lynn Adel | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750544193 | Walter Roach Sundstrom | Internal Medicine | 404 Orchard Dr, Madison, WI 53711-1315 | 2008-07-07 |
| 1104001098 | Lakeshore Rheumatology, LLC | Internal Medicine | 377 W Riverwoods Parkway, Suite 190, Glendale, WI 53212 | 2008-01-09 |
| 1154527455 | Rheumatology and Immunotherapy | Internal Medicine | 4225 W Oakwood Park Ct, Franklin, WI 53132-8131 | 2007-06-23 |
| 1881803658 | Robina Naz Chowdhery | Internal Medicine | 9697 Saint Catherines Dr # 400, Pleasant Prairie, WI 53158-2118 | 2007-05-21 |
| 1013125186 | Tom M Murphy | Internal Medicine | 1848 Raintree Ln, Racine, WI 53406-7638 | 2007-05-20 |
| 1134234859 | Alvin F Wells | Internal Medicine | 4225 W Oakwood Park Court, Franklin, WI 53132 | 2006-08-20 |
| 1740227669 | Indravadan Kansari | Internal Medicine | 1020 Kabel Ave, Rhinelander, WI 54501-3918 | 2006-05-31 |
| 1306890470 | Milwaukee Rheumatology Center, Sc | Internal Medicine | 2901 W Kinnickinic River Pkwy, Suite 301, Milwaukee, WI 53215-3660 | 2006-05-21 |
| 1932162658 | Allan L Goldman | Internal Medicine | 2801 W Kk River Prkwy, Suite 375, Milwaukee, WI 53215-3678 | 2006-04-12 |
| 1346201241 | John L Juozevicius | Internal Medicine | 1 South Park St, Madison, WI 53715 | 2006-03-30 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
Please comment or provide details below to improve the information on TIMOTHY M SHELLEY.
| 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.