TIMOTHY EDWARDS (NPI# 1922465244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922465244 |
| Entity Type | Individual |
| Full Name | TIMOTHY EDWARDS |
| Practice Address |
5 Farnham Pl Port Jeff Sta NY 11776-3412 |
| Practice Telephone | 6314642155 |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355523 | Timothy Marcus Edwards | Case Manager/Care Coordinator | 2560 Billingsley Rd, Columbus, OH 43235-1990 | 2019-09-16 |
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1487929352 | Timothy Ray Edwards | Counselor | 3898 Via Poinciana Drive, Suite 13, Lake Worth, FL 33467-2951 | 2012-03-12 |
| 1477603736 | Timothy Leon Edwards | Physical Therapy Assistant | 608 8th Ave East, Springfield, TN 37172 | 2007-01-11 |
| 1437215985 | Timothy Lee Edwards | Dentist | 6600 Perimeter Dr Ste 100, Dublin, OH 43016-8033 | 2006-12-29 |
| 1760583249 | Timothy Lee Edwards | Optometrist | 217 Garrisonville Rd, Stafford, VA 22554-1527 | 2006-09-26 |
| 1023036696 | Timothy Edwards | Optometrist | 121 N Grand Ave W, Springfield, IL 62702-2562 | 2006-07-18 |
| 1356388557 | Timothy J Edwards | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-05-31 |
| 1962408591 | Timothy Freeman Edwards | Specialist | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2005-06-28 |
| Street Address |
5 FARNHAM PL |
| City | PORT JEFF STA |
| State | NY |
| Zip Code | 11776-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839080 | Tim Edwards | Specialist | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 | 2016-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184186215 | Stacy Healy | Specialist | 12 Hart St, Port Jeff Sta, NY 11776-2716 | 2019-04-06 |
| 1063885283 | Meghan Marie Manginelli | Specialist | 128 Stuyvesant Dr, Port Jeff Sta, NY 11776-4227 | 2015-11-10 |
| 1265784169 | Melissa Turner | Specialist | 170 Bergen St, Port Jeff Sta, NY 11776-2602 | 2012-10-03 |
| 1699039958 | Angela Donadio | Specialist | 160 Stuyvesant Dr, Port Jeff Sta, NY 11776-4228 | 2012-07-01 |
| 1588229819 | Garrett Buckner | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-05-02 |
| 1174081293 | Leanne Schreiber | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-03-07 |
| 1528525821 | Lauren Lagarde | Specialist | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | 2019-02-23 |
| 1851751937 | Jamie Bunsis | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jeff Sta, NY 11776-2053 | 2016-03-02 |
| 1669839080 | Tim Edwards | Specialist | 5 Farnham Pl, Port Jeff Sta, NY 11776-3412 | 2016-01-16 |
| 1497180350 | Michele Caren Boss | Specialist | 5225 Nesconset Hwy, Suite 30, Port Jeff Sta, NY 11776-2053 | 2013-09-11 |
| Find all providers in PORT JEFF STA | ||||
| City | PORT JEFF STA |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on TIMOTHY EDWARDS.
| 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.