Timothy W Surber (NPI# 1144668989, PAC ID# 4385887371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1144668989 |
| PAC ID by PECOS | 4385887371 |
| Professional Enrollment ID | I20171010002035 |
| Full Name | Timothy W Surber |
| Organization Legal Name | STEVENSON - FAIRCHILD, OMS, P.C. |
| Address |
911 Wall St Suite C Valparaiso IN 46383-2553 |
| Phone Number | 2194629599 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2017 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9830249317 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150034 | ST MARY MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 911 Wall St, Suite C, Valparaiso, IN 46383-2553 | 2194629599 | STEVENSON - FAIRCHILD, OMS, P.C. |
| Organization Legal Name | STEVENSON - FAIRCHILD, OMS, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard E Stevenson | Oral Surgery | Stevenson - Fairchild, Oms, P.C. | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 |
| Stephen J Fairchild | Oral Surgery | Stevenson - Fairchild, Oms, P.C. | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 |
| Street Address |
911 WALL ST SUITE C |
| City | VALPARAISO |
| State | IN |
| Zip | 46383-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard E Stevenson | Oral Surgery | Stevenson - Fairchild, Oms, P.C. | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 |
| Stephen J Fairchild | Oral Surgery | Stevenson - Fairchild, Oms, P.C. | 911 Wall St, Suite C, Valparaiso, IN 46383-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Beauvais | Chiropractic | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | |
| Sarah Anne Tsagris | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Richard W Ireland | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Caterina A Komyatte | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Madonna L Grabos | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Bryan Onuselogu | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Hector Marchand Jr. | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Helda Barakat | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Anand P Popli | Psychiatry | 1904 Chandana Trl, Valparaiso, IN 46383-2290 | |
| Find all physicians in zip 46383 | |||
| City | VALPARAISO |
| Zip Code | 46383 |
| Specialty | ORAL SURGERY |
| City + Specialty | VALPARAISO + ORAL SURGERY |
Please comment or provide details below to improve the information on Timothy W Surber.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.