TIM ALAN BROESEKER (NPI# 1093803777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093803777 |
| Entity Type | Individual |
| Full Name | TIM ALAN BROESEKER |
| Credential | MD |
| Practice Address |
1300 Miccosukee Road Tmpp - Cancer & Hematology Tallahassee FL 32308 |
| Practice Telephone | 8504315360 |
| Practice Fax Number | 8504315367 |
| Mailing Telephone | 8504315360 |
| Mailing Fax Number | 8504315367 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME0047148 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 05945 | 01 | |
| FL | 048530600 | 05 |
| Street Address |
1300 MICCOSUKEE ROAD TMPP - CANCER & HEMATOLOGY |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235599671 | Micah Hughes | Nurse Practitioner | 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308-5054 | 2016-02-27 |
| 1437531563 | Angela Goodson | Registered Nurse | 1300 Miccosukee Road, Tallahassee, FL 32308 | 2015-06-25 |
| 1770981912 | Heather Robinson | Physician Assistant | 1300 Miccosukee Road, Hospitalist Group, Tallahassee, FL 32308 | 2014-12-19 |
| 1467853929 | Salil Taroon Shah | Internal Medicine | 1300 Miccosukee Road, Tmh/fsu Internal Medicine Residency Program, Tallahassee, FL 32308-5607 | 2014-09-15 |
| 1417384918 | Jason James Hana | Physician Assistant | 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308 | 2013-09-30 |
| 1437400298 | Kathleen Reid | Nurse Practitioner | 1300 Miccosukee Road, Hospitalists Group, Tallahassee, FL 32308-5054 | 2012-09-19 |
| 1740545128 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Miccosukee Road, Internal Medicine Residency Program, Tallahassee, FL 32308-5607 | 2012-07-11 |
| 1477828739 | Colby Redfield | Emergency Medicine | 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308-5054 | 2012-03-19 |
| 1366719817 | Luz Andrea Rincon | Internal Medicine | 1300 Miccosukee Road, Hospitalists Group, Tallahassee, FL 32308 | 2011-11-29 |
| 1962793869 | Devin Bustin | Emergency Medicine | 1300 Miccosukee Road, Bixler Emergency Center, Tallahassee, FL 32308 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922299312 | Tallahassee Cancer Center Pl | Internal Medicine | 1901 Welby Way, Tallahassee, FL 32308-4453 | 2007-08-09 |
| 1740383181 | Marie Michelle Amanze | Internal Medicine | 1309 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2006-09-07 |
| 1972862555 | Hematology Oncology Solutions of Tallahassee LLC | Internal Medicine | 1309 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2012-05-16 |
| 1215207360 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1775 One Healing Place, Tmpp - Cancer & Hematology, Tallahassee, FL 32308 | 2012-01-06 |
| 1396922654 | Jeannine M Silberman | Internal Medicine | 1775 One Healing Pl, 2nd Floor, Tallahassee, FL 32308-4600 | 2008-01-29 |
| 1669669438 | Tallahassee Cancer Institute, Pl | Internal Medicine | 1653 Mahan Center Blvd, Tallahassee, FL 32308-5454 | 2007-09-26 |
| 1427261726 | Jorge V Perez De Armas | Internal Medicine | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2007-05-07 |
| 1366566077 | Hematology Oncology Associates of Northwest Florida LLP | Internal Medicine | 1632 Riggins Rd, Tallahassee, FL 32308-5316 | 2007-03-19 |
| 1932280138 | Jayan Nair | Internal Medicine | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2006-10-17 |
| 1083701908 | Janice W. Lawson | Internal Medicine | 1775 One Healing Place, 2nd Floor, Tallahassee, FL 32308 | 2006-10-10 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on TIM ALAN BROESEKER.
| 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.