TIMOTHY ANDERSON (NPI# 1063496222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063496222 |
| Entity Type | Individual |
| Full Name | TIMOTHY ANDERSON |
| Credential | PA |
| Practice Address |
954 Lake Baldwin Ln Orlando FL 32814-6651 |
| Practice Telephone | 4074789797 |
| Practice Fax Number | 4074789798 |
| Mailing Telephone | 4074789797 |
| Mailing Fax Number | 4074789798 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 908641 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA03747 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649700550 | Timothy Anderson | Psychologist | 1 Ohio University Psychology and Social Work Clinic, Room 002 Athens, Oh 45701-2942 United States, Athens, OH 45701-2942 | 2017-06-13 |
| 1215371141 | Timothy Anderson | Emergency Medicine | 94 Selby Ln, Atherton, CA 94027-3953 | 2013-04-22 |
| 1790973956 | Timothy D Anderson | Optometrist | 3127 Royal Hanna Dr Ne, Rockford, MI 49341-7525 | 2007-10-11 |
| 1023160595 | Timothy Leroy Anderson | Counselor | 5528 Woodland Hills Rd., Denton, TX 76208 | 2007-01-17 |
| 1780741959 | Timothy Philip Anderson | Optometrist | 3450 Asheville Hwy, Hendersonville, NC 28791-0701 | 2007-01-03 |
| 1598790735 | Timothy W. Anderson | Internal Medicine | 1200 Binz St Ste 630, Houston, TX 77004-6944 | 2006-07-12 |
| 1659323962 | Timothy Sean Anderson | Pharmacist | 3208 Sw 103rd Pl, Oklahoma City, OK 73159-6028 | 2006-05-16 |
| 1568458446 | Timothy W Anderson | Internal Medicine | 625 Africa Rd Ste 320, Westerville, OH 43082 | 2005-09-26 |
| 1407856834 | Timothy Warren Anderson | Dentist | 523 Remington St, Fort Collins, CO 80524-3022 | 2005-07-28 |
| 1861490393 | Timothy Wallace Anderson | Chiropractor | 885 Western Ave, Suite #450, Fond Du Lac, WI 54935-3874 | 2005-07-08 |
| Street Address |
954 LAKE BALDWIN LN |
| City | ORLANDO |
| State | FL |
| Zip Code | 32814-6651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326446758 | Immanuel's Images, Inc | Chiropractor | 954 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2014-12-17 |
| 1326386046 | Christelle Faith Renta | Nurse Practitioner | 954 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2013-01-31 |
| 1174576631 | Sangeeta Pati | Homeopath | 954 Lake Baldwin Ln, Orlando, FL 32814-6651 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979353 | Kristen R. Weick | Counselor | 1384 Lake Baldwin Ln, Suite B, Orlando, FL 32814 | 2018-07-26 |
| 1376822056 | Teresa Ann Baker | Audiologist | 1460 Lake Baldwin Ln Apt A, Orlando, FL 32814 | 2011-08-11 |
| 1811120843 | Carolina Teresa Diaz | Counselor | 4225 Fox St. Part 209, Orlando, FL 32814 | 2009-08-25 |
| 1639337231 | Physician Associates LLC | Family Medicine | 855 Outer Road, Physician Associates LLC, Orlando, FL 32814 | 2008-05-30 |
| 1598881369 | Yong Chen | Preventive Medicine | 2433 Lake Baldwin Lane, Orlando, FL 32814 | 2007-03-22 |
| 1285661660 | William Bruna Dunn Iv | Dentist | 950 Lake Baldwin Lane, Orlando, FL 32814 | 2006-06-28 |
| 1295776326 | Wanita Sue Patterson | Nurse Practitioner | 871 Outer Road Unit D, Orlando, FL 32814 | 2006-06-09 |
| 1780663252 | Juan J Herran | Internal Medicine | 1697 Lake Baldwin Ln, Orlando, FL 32814 | 2006-01-12 |
| 1275038085 | Kayla Marie Mannion | Behavior Technician | 907 Outer Rd Ste B, Orlando, FL 32814 | 2018-03-26 |
| 1891295127 | Tiffany Marie Rubio | Midwife | 867 Outer Rd Ste A, Orlando, FL 32814 | 2018-02-13 |
| Find all providers in zip 32814 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1609473594 | Arianna Piza Cueva | Physician Assistant | 1617 Lake Baldwin Ln, Orlando, FL 32814-6745 | 2020-10-05 |
| 1679189153 | Lynnzie Marie Kipp | Physician Assistant | 6427 Westwood Blvd Unit 100, Orlando, FL 32821-8311 | 2020-09-20 |
| 1396368189 | Katharine Mcmanus | Physician Assistant | 6137 Jibway Ct, Orlando, FL 32807-2909 | 2020-05-27 |
| 1124651328 | Kayleigh E Hunt | Physician Assistant | 86 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-16 |
| 1326679093 | Hae Jeung | Physician Assistant | 1713 Circe Lake Ct, Orlando, FL 32826-4645 | 2020-01-30 |
| 1902445844 | Christina Pagan | Physician Assistant | 2014 S Orange Ave # 200b, Orlando, FL 32806-3069 | 2019-12-23 |
| 1154969335 | Shahed Hmeidan | Physician Assistant | 2624 Clementon Park Ct, Orlando, FL 32835-6160 | 2019-12-18 |
| 1609414143 | Amber Grimm | Physician Assistant | 2144 Bristol Grande Way, Orlando, FL 32820-2781 | 2019-12-16 |
| 1255976213 | Katherine Mary Vanhove | Physician Assistant | 1310 E Esther St, Orlando, FL 32806-4128 | 2019-11-14 |
| Find all providers in ORLANDO | ||||
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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.