TIMOTHY PATRICK PHELAN (NPI# 1134388473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134388473 |
| Entity Type | Individual |
| Full Name | TIMOTHY PATRICK PHELAN |
| Credential | MD |
| Practice Address |
2940 N Mccord Rd Toledo OH 43615 |
| Mailing Address |
2940 N Mccord Rd Toledo OH 43615-1753 |
| Practice Telephone | (419) 842-3000 |
| Practice Fax Number | 4192919883 |
| Mailing Telephone | 4198423000 |
| Mailing Fax Number | 4192919883 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35130966 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35130966 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 221109200 | 05 | |
| MD | CAREFIRST BC/BS - REGIONAL | S062-0430 | 01 |
| MD | CAREFIRST BC/BS | 974410-01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1760543375 | Timothy Edwin Phelan | Specialist | 1621 Creekside Dr, 102, Folsom, CA 95630-3493 | 2006-12-13 |
| 1639131584 | Timothy Michael Phelan | Obstetrics & Gynecology | 2525 Riverside Ave, Jacksonville, FL 32204-4710 | 2006-04-05 |
| Street Address |
2940 N MCCORD RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102084 | Ravi K Adusumilli | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2005-05-23 |
| 1104435825 | Jessica Lynn Asher | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2020-07-28 |
| 1700423662 | Christina Marie Rodriguez | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2019-12-10 |
| 1881246353 | Erin Orzechowski | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2019-07-15 |
| 1205495900 | Emily M Dusa | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2019-06-07 |
| 1487119095 | Kristin Wilhelmi | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2019-02-07 |
| 1972070423 | Mischell E Schlosser | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2018-11-01 |
| 1255829958 | Zachary Davidson | Physician Assistant | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2018-04-27 |
| 1982109724 | Richard Schoenrock | Nurse Practitioner | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2018-03-26 |
| 1063916070 | Jacob Tyler Corbett | Physician Assistant | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2018-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
| 1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
| 1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
| 1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
| 1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
| 1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
| 1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
| 1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
| 1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
| Find all providers in zip 43615 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1649559394 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2011-08-12 |
| 1245232800 | Mark O'connor | Internal Medicine | 2409 Cherry St, Ste 100, Toledo, OH 43608-2625 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727292 | Dayton Cardiology Consultants, LLC | Internal Medicine | 6635 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2020-07-14 |
| 1285918706 | The Dayton Heart Center, Inc. | Internal Medicine | 742 Sweitzer St, Greenville, OH 45331-1099 | 2011-10-03 |
| 1275817793 | The Dayton Heart Center, Inc. | Internal Medicine | 6623 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2011-10-03 |
| 1720378243 | Ismail Hamam | Internal Medicine | 473 West 12th Ave, Dhlri 200, Columbus, OH 43210 | 2011-04-18 |
| 1073769709 | Dina Marie Sparano | Internal Medicine | 6801 Mayfield Rd Ste 300, Mayfield Heights, OH 44124 | 2008-08-13 |
| 1518137017 | Bryan Baranowski | Internal Medicine | Cleveland Clinic F15 Mailing Desk, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-03-11 |
| 1821287509 | Shervin Sadrpour | Internal Medicine | 4760 E. Galbraith Road, Suite 205, Cincinnati, OH 45236-6704 | 2007-10-18 |
| 1366504599 | Ottorino Costantini | Internal Medicine | 2500 N Metrohealth Drive, Cleveland, OH 44109 | 2006-12-14 |
| 1780623645 | Firas M.a. Hamdan | Internal Medicine | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2006-06-06 |
| 1669458733 | Fort Wayne Cardiology Corporation | Internal Medicine | 11558 Sr 111, Paulding, OH 45879 | 2005-12-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIMOTHY PATRICK PHELAN.
| 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.