TIM E TABER (NPI# 1104823509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104823509 |
| Entity Type | Individual |
| Full Name | TIM E TABER |
| Credential | M.D. |
| Practice Address |
550 University Blvd Suite 4620 Indianapolis IN 46202-5149 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179480505 |
| Practice Fax Number | 3179483268 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2014-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01031282 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM NUMBER | 000000083030 | 01 |
| IN | 100193100 | 05 |
| Street Address |
550 UNIVERSITY BLVD SUITE 4620 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720003 | Rebecca R Small | Family Medicine | 550 University Blvd, Uh 1501, Indianapolis, IN 46202-5149 | 2005-06-16 |
| 1952900961 | Laura Katherine Durr | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-21 |
| 1013516400 | Ramandeep Kaur Chohan | Anesthesiologist Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-19 |
| 1063027993 | Allison Ruth Rodriguez | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-09-08 |
| 1225654189 | Nichole Pullin | Physician Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-17 |
| 1336764992 | Laura M Lambeth | Pharmacist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-10 |
| 1518580059 | Hani Shamseddeen | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-19 |
| 1609497254 | Mariana Hoyos | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1760003354 | Maria Danielle Browning | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1912527862 | Tejas Nimba Nikumbh | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| 1982850244 | William Henry Dick | Internal Medicine | 6737 La Tour Cir, Indianapolis, IN 46278-1546 | 2008-08-18 |
| 1104922582 | Nephrology Associates of Indianapolis, LLC | Internal Medicine | 6350 Rucker Rd, Suite 103, Indianapolis, IN 46220-4893 | 2006-09-15 |
| 1013943109 | Nephrology & Internal Medicine, Inc. | Internal Medicine | 5510 S East St, Indianapolis, IN 46227-1938 | 2006-06-23 |
| 1285682054 | Sisir K Dhar | Internal Medicine | 12256 Wayside Rd, Indianapolis, IN 46256-9432 | 2006-05-04 |
| 1194780403 | Timothy A Sutton | Internal Medicine | 950 W Walnut St, E 276, Indianapolis, IN 46202-5188 | 2006-04-19 |
| 1114982642 | Mindaugas Zekonis | Internal Medicine | 1801 N. Senate Blvd, Suite 355, Indianapolis, IN 46202-1252 | 2006-04-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on TIM E TABER.
| 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.