Timothy Omar Gates (NPI# 1487155024, PAC ID# 7911259676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487155024 |
| PAC ID by PECOS | 7911259676 |
| Professional Enrollment ID | I20181008000860 |
| Full Name | Timothy Omar Gates |
| Organization Legal Name | TIMOTHY GATES LLC |
| Address |
14415 Woodmont Ave Detroit MI 48227-4710 |
| Phone Number | 2488423755 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6103178868 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14415 Woodmont Ave, Detroit, MI 48227-4710 | 2488423755 | TIMOTHY GATES LLC |
| Organization Legal Name | TIMOTHY GATES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Orr | General Practice | Timothy Gates LLC | 14415 Woodmont Ave, Detroit, MI 48227-4710 |
| Street Address |
14415 WOODMONT AVE |
| City | DETROIT |
| State | MI |
| Zip | 48227-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Orr | General Practice | Timothy Gates LLC | 14415 Woodmont Ave, Detroit, MI 48227-4710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamika Marie Davis | Nurse Practitioner | Mobile Medical Doctors Inc | 15819 Schoolcraft St, Detroit, MI 48227-1749 |
| Lawrence M Sherman | Emergency Medicine | Mobile Medical Doctors Inc | 15819 Schoolcraft St, Detroit, MI 48227-1749 |
| Larry H Reid | Family Medicine | Mobile Medical Doctors Inc | 15819 Schoolcraft St, Detroit, MI 48227-1749 |
| Susan M Rice | Family Medicine | Susan Rice Do Frank Lanzilote Do Family Practice PC | 16226 Grand River Ave, Detroit, MI 48227-1824 |
| Frank F Lanzilote | Family Medicine | Susan Rice Do Frank Lanzilote Do Family Practice PC | 16226 Grand River Ave, Detroit, MI 48227-1824 |
| Camilla Muhammad | Clinical Social Worker | Guardian Angel Adult Services Inc | 14305 Fenkell St, Detroit, MI 48227-2902 |
| Melissa P Maxwell | Clinical Social Worker | 13575 Lesure St, Detroit, MI 48227-3131 | |
| Terry A Wynn | Obstetrics/gynecology | 14103 Fenkell St, Detroit, MI 48227-3214 | |
| William A Jackson | General Practice | 14103 Fenkell St, Detroit, MI 48227-3214 | |
| Alecia D Carey | Clinical Social Worker | Essentials Adult Day Care | 14200 Puritan St, Detroit, MI 48227-3323 |
| Find all physicians in zip 48227 | |||
| City | DETROIT |
| Zip Code | 48227 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DETROIT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy Omar Gates.
| 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.