Timothy King (NPI# 1215963202, PAC ID# 5395638159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1215963202 |
| PAC ID by PECOS | 5395638159 |
| Professional Enrollment ID | I20111111000486 |
| Full Name | Timothy King |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Address |
11456 S Broadway Crown Point IN 46307-7106 |
| Phone Number | 2194880154 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 5294628046 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11456 S Broadway, Crown Point, IN 46307-7106 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| 2202 Laporte Ave C, Valparaiso, IN 46383-5936 | 2194880154 | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | ADVANCED PAIN AND ANESTHESIA CONSULTANTS, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sridhar Vallabhaneni | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 S Wolf Rd D, Westchester, IL 60154-5643 |
| Ryan Marshall Unger | Physical Medicine and Rehabilitation | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Randolph Y Chang | Pain Management | Advanced Pain and Anesthesia Consultants, PC | 10215 W Roosevelt Rd, Suite A, Westchester, IL 60154-2555 |
| Todd S Hagle | Internal Medicine | Advanced Pain and Anesthesia Consultants, PC | 2740 W Foster Ave, Suite 301, Chicago, IL 60625-3526 |
| Nicole Denise Wilbanks | Nurse Practitioner | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Julie Rowin | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Rana F Mafee | Neurology | Advanced Pain and Anesthesia Consultants, PC | 2450 Wolf Rd D, Westchester, IL 60154-5643 |
| Street Address |
11456 S BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Denise Wilbanks | Nurse Practitioner | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Shreyasi Harsh Dalal | Anesthesiology | Advanced Pain and Anesthesia Consultants, PC | 11456 S Broadway, Crown Point, IN 46307-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | CROWN POINT + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Timothy King.
| 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.