Timothy J Micek (NPI# 1124106133, PAC ID# 7315840782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124106133 |
| PAC ID by PECOS | 7315840782 |
| Professional Enrollment ID | I20140902000279 |
| Full Name | Timothy J Micek |
| Organization Legal Name | MITIAS ORTHOPAEDICS, PLLC |
| Address |
206 Oxford Rd New Albany MS 38652-3115 |
| Phone Number | 6625342227 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1994 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4880778786 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250006 | BAPTIST MEMORIAL HOSPITAL UNION COUNTY |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| Address | Phone | Organization |
|---|---|---|
| 206 Oxford Rd, New Albany, MS 38652-3115 | 6625342227 | MITIAS ORTHOPAEDICS, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MITIAS ORTHOPAEDICS, PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Brad Robbins | Physician Assistant | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Bradley Dillon | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Hanna M Mitias | Orthopedic Surgery | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Kevin F Yekaitis | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Jeffrey Allen Pipkin | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Alexander Thomas Hill | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Brandy L Blanton | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Tina Gail Bryan | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Michael B Page | Physician Assistant | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Jared L Spicer | Podiatry | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Street Address |
206 OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip | 38652-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Brad Robbins | Physician Assistant | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Bradley Dillon | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Hanna M Mitias | Orthopedic Surgery | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Kevin F Yekaitis | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Jeffrey Allen Pipkin | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Alexander Thomas Hill | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Brandy L Blanton | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Tina Gail Bryan | Nurse Practitioner | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Michael B Page | Physician Assistant | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Jared L Spicer | Podiatry | Mitias Orthopaedics, Pllc | 206 Oxford Rd, New Albany, MS 38652-3115 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph E Williams | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Keith Russell | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Justin R Lohmeier | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Jeffrey R Orear | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Robert E Barnett | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Megan Hooker | Nurse Practitioner | Megmed Health | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| Leody C Bautista | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Carly Lonna Boyd | Nurse Practitioner | Megmed Health | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| William Eric Frohn | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Tyrongilia Q Walton | Nurse Practitioner | Walton Family Care Clinic, LLC | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| Find all physicians in zip 38652 | |||
| City | NEW ALBANY |
| Zip Code | 38652 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | NEW ALBANY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Timothy J Micek.
| 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.