DR. TIMOTHY CHARLES CHILDERS (NPI# 1982609921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982609921 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY CHARLES CHILDERS |
| Credential | M.D. |
| Practice Address |
1181 Orange Ave Winter Park FL 32789-4907 |
| Practice Telephone | 4076471331 |
| Practice Fax Number | 4075712757 |
| Mailing Telephone | 4076471331 |
| Mailing Fax Number | 4075712757 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 73071 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PALMETTO GBA - RAILROAD MEDICARE | 020050628 | 01 |
| FL | 258553700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124078555 | Timothy W Childers | Physician Assistant | 75 Sheldon Blvd Se, Suite 101, Grand Rapids, MI 49503-4224 | 2006-05-10 |
| Street Address |
1181 ORANGE AVE |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174709 | Roberto Gonzales Posada | Specialist | 1181 Orange Ave, Winter Park, FL 32789-4907 | 2005-06-16 |
| 1730360413 | Daniel Gideon Vanuno | Surgery | 1181 Orange Ave, Winter Park, FL 32789-4907 | 2007-11-21 |
| 1689778185 | Surgical Associates of Central Florida Pa | Specialist | 1181 Orange Ave, Winter Park, FL 32789-4907 | 2006-09-13 |
| 1578568515 | Thomas Kepner Mahan | Specialist | 1181 Orange Ave, Winter Park, FL 32789-4907 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| 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 |
|---|---|---|---|---|
| 1740641752 | Andrasne Weiszhaupt | Specialist | 931 S Semoran Blvd Ste 220, Winter Park, FL 32792-5398 | 2016-03-18 |
| 1437578390 | Joyful Music Therapy LLC | Specialist | 2435 Lee Rd, Winter Park, FL 32789-1755 | 2014-04-08 |
| 1497097356 | Robert Henry Shear | Specialist | 1450 Place Picardy, Winter Park, FL 32789-1334 | 2013-03-19 |
| 1982989802 | Ashley Collins | Specialist | 2888 Red Lion Sq, Winter Park, FL 32792-1040 | 2011-10-12 |
| 1518257989 | Pricilla Vanessa Alvarez | Specialist | 305 N Lakemont Ave, Winter Park, FL 32792-3204 | 2011-04-19 |
| 1336469311 | Tanya Michelle Rose | Specialist | 407 Jamestown Dr, Winter Park, FL 32792-3610 | 2010-06-01 |
| 1467603324 | Renee Galeski | Specialist | 1693 Walnut Ave, Winter Park, FL 32789-2035 | 2008-10-08 |
| 1861652968 | Jaime Pollack | Specialist | 7413 Wynnewood Sq, Winter Park, FL 32792-6559 | 2008-06-11 |
| 1649469008 | Veda R Vyas Md LLC | Specialist | 1801 Lee Rd Ste 220, Winter Park, FL 32789-2163 | 2007-10-22 |
| 1740484146 | Sherell Denise Perkins | Specialist | 3113 Whisper Lake Ln Apt F, Winter Park, FL 32792-5352 | 2007-06-12 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on DR. TIMOTHY CHARLES CHILDERS.
| 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.