DR. TIMOTHY PUCKETT (NPI# 1144220013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144220013 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY PUCKETT |
| Credential | DC |
| Practice Address |
809 E Liberty St York SC 29745-1661 |
| Mailing Address |
Po Box 297 York SC 29745-0297 |
| Practice Telephone | 8036845504 |
| Practice Fax Number | 8036845496 |
| Mailing Telephone | 8036845504 |
| Mailing Fax Number | 8036845496 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1366 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC1366 | 05 | |
| SC | MEDICARE GROUP NPI | 1386799898 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184910507 | Timothy O'dell Puckett | Physical Therapist | 7007 Bandera Rd Ste 3, Leon Valley, TX 78238-1264 | 2011-06-23 |
| 1679598213 | Timothy C Puckett | Physician Assistant | 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | 2006-07-13 |
| 1447228952 | Timothy A Puckett | Orthopaedic Surgery | 825 Ne 10th St, Oupb1300, Oklahoma City, OK 73104-5417 | 2006-03-09 |
| Street Address |
809 E LIBERTY ST |
| City | YORK |
| State | SC |
| Zip Code | 29745-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386799898 | York Chiropractic Inc. | Chiropractor | 809 E Liberty St, York, SC 29745-1661 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218244 | Amanda Sue Hardy | Massage Therapist | Amanda Hardy, 423 Kelly Rd, York, SC 29745 | 2020-09-03 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1316313810 | Fc Midlands York, LLC | Assisted Living Facility | 40 Ross Cannon Street, York, SC 29745 | 2015-08-19 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1649599747 | Sherita Featherstone Davis | Counselor | 234 Kings Mountain Road, York, SC 29745 | 2010-05-28 |
| 1306099312 | Pmc Physician Network, L.L.C. | Family Medicine | 1795 Devinney Rd, York, SC 29745 | 2008-11-04 |
| 1215077433 | Alfred Casburn Johnson Jr. | Dentist | 1306 Old Fairhope Ct, York, SC 29745 | 2007-02-07 |
| 1104994938 | Ph & F Inc | Pharmacy | 1007 Creekside Medical Drive, York, SC 29745 | 2006-12-01 |
| 1407935315 | Nora Sue Roy | Social Worker | 212 East Jefferson St, York, SC 29745 | 2006-11-02 |
| 1508963927 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1440 Alexander Love Highway, York, SC 29745 | 2006-09-20 |
| Find all providers in zip 29745 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866504 | Daniel Eichner | Chiropractor | 2820 Whiteford Rd Ste 5, York, PA 17402-7625 | 2019-05-18 |
| 1265838940 | Ferida Khanjani | Chiropractor | 31 Old Post Rd, York, ME 03909-5813 | 2014-11-07 |
| 1417233602 | Susquehanna Valley Chiropractic and Rehabilitation | Chiropractor | 236 N George St, Suite 105, York, PA 17401-1108 | 2011-11-01 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1629305198 | Good Chiropractic, P.C. | Chiropractor | 1901 Vicki Dr, York, PA 17403-4260 | 2009-11-04 |
| 1730320037 | Jacquelyn Kyra Dutkiewicz | Chiropractor | 111 Us Route 1, York, ME 03909-5109 | 2009-03-16 |
| 1356502892 | Near Perfect Inc | Chiropractor | 2200 N Susquehanna Trl, York, PA 17404-1652 | 2008-06-18 |
| 1598923682 | Natalie Spagnola | Chiropractor | 2215 East Market Street, York, PA 17403 | 2008-05-27 |
| 1790957942 | Nicole Theresa Eimermann | Chiropractor | 2011 N Lincoln Ave, York, NE 68467-1071 | 2008-03-27 |
| 1134302904 | Ben Krug | Chiropractor | 1728 Old York Rd, York, SC 29745-9458 | 2007-12-14 |
| Find all providers in YORK | ||||
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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.