TIMOTHY J MCKNIGHT (NPI# 1063495406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063495406 |
| Entity Type | Individual |
| Full Name | TIMOTHY J MCKNIGHT |
| Credential | M.D. |
| Practice Address |
14519 Detroit Ave Lakewood OH 44107-4316 |
| Mailing Address |
Po Box 951101 Cleveland OH 44193-0005 |
| Practice Telephone | 2165214200 |
| Mailing Telephone | 4408790081 |
| Mailing Fax Number | 4408790084 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35-075112 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2129413 | 05 | |
| OH | ANTHEM | 000000133809 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114917390 | Timothy A Mcknight | Family Medicine | 819 N. First Street, Dennison, OH 44621 | 2005-10-27 |
| 1063967842 | Timothy Mcknight | Ambulance | 5499 Jonesboro Rd, Lake City, GA 30260-3553 | 2016-08-22 |
| 1376755470 | Timothy Allen Mcknight | Radiology | 28050 Grand River Ave, Botsford Hospital Dept. of Radiology, Farmington Hills, MI 48336-5919 | 2007-05-03 |
| Street Address |
14519 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895493 | Umarani Ramachandran | Pediatrics | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2005-10-18 |
| 1831584804 | Michelle Palcsik | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-04-06 |
| 1114318029 | Jessica Schreiner | Dietitian, Registered | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2015-02-13 |
| 1932516424 | Beth Tibbitts | Social Worker | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-07-16 |
| 1811309461 | Jessica Bennett | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-29 |
| 1104238237 | Michelle Kellicker | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-23 |
| 1386056687 | Andrew Morgan Cluts | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-21 |
| 1558772103 | Tamara Hunt | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-16 |
| 1114338001 | Kristen Louise Gallo | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-13 |
| 1902216773 | Timothy Hirzel | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376170381 | Kathleen Sibyl Kress Farrell | Pediatrics | 14701 Detroit Ave Ste 250, Lakewood, OH 44107-4109 | 2020-03-27 |
| 1306305842 | Werzberger Pediatrics PC. | Pediatrics | 619 W County Line Rd, Lakewood, NJ 08701-1215 | 2019-03-14 |
| 1851893002 | Kayla Pediatrics, PC | Pediatrics | 1576 Lanes Mill Rd, Lakewood, NJ 08701-3839 | 2018-03-04 |
| 1558897272 | Ngoc Thien Nguyen | Pediatrics | 7424 Bridgeport Way W Ste 103, Lakewood, WA 98499-8137 | 2017-05-02 |
| 1104229285 | Avivit Zurkovsky | Pediatrics | 101 Seond Street, Lakewood, NJ 08701-3324 | 2014-10-02 |
| 1124285788 | Bram Greenberg | Pediatrics | 555 Hope Chapel Rd, Lakewood, NJ 08701-1517 | 2008-05-21 |
| 1841482635 | William R Fenster | Pediatrics | 1201 River Ave, Unit 10, Lakewood, NJ 08701-5676 | 2007-08-15 |
| 1831307800 | Pediatric Practice, Inc | Pediatrics | 14601 Detroit Ave Ste 395, Lakewood, OH 44107-4209 | 2007-05-21 |
| 1710199955 | Bryson V Ahlers | Pediatrics | 6212 75th, Lakewood, WA 98499 | 2007-05-03 |
| 1992847024 | Mukti Rana | Pediatrics | 101 Prospect St Ste 112, Lakewood, NJ 08701-5004 | 2007-02-13 |
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| 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.