DR. TIMOTHY MICHAEL LONERGAN


Address: 165 Natchez Trace Ave, Bowling Green, KY 42103-7940
Phone: 2707827800

DR. TIMOTHY MICHAEL LONERGAN (NPI# 1346683059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346683059
Entity Type Individual
Full Name DR. TIMOTHY MICHAEL LONERGAN
Credential MD
Practice Address 165 Natchez Trace Ave
Bowling Green
KY 42103-7940
Mailing Address 201 Park St
Bowling Green
KY 42101-1708
Practice Telephone 2707827800
Practice Fax Number 2708430779
Mailing Telephone 2707827800
Mailing Fax Number 2708430779
Enumeration Date 2013-04-11
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 2018007986 MO Allopathic & Osteopathic Physicians
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
52379 KY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 631101032 3147472500 3147472598

Other Providers TIMOTHY LONERGAN

NPI Name Taxonomy Address Enumeration
1528356714 Timothy Carlton Lonergan Physical Therapist 3450 Cobb Pkwy Nw, Ste. 140, Acworth, GA 30101-8351 2011-07-21
1215026992 Timothy C Lonergan Dentist 120 N Main St, Chatham, IL 62629-1347 2006-10-12

Office Location

Street Address 165 NATCHEZ TRACE AVE
City BOWLING GREEN
State KY
Zip Code 42103-7940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295738482 Craig A Beard Orthopaedic Surgery 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2005-05-23
1750924676 Rachel E Perkins Nurse Practitioner 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2019-10-23
1124591318 Tyler D Miller Nurse Practitioner 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2019-01-10
1518449842 Matthew J. Miller Physical Therapist 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2018-09-04
1205292257 Jonathan Reed Packer Physical Therapist 165 Natchez Trace Ave, Suite 200, Bowling Green, KY 42103-7940 2016-01-06
1033595947 Brittany Leigh Sowders Nurse Practitioner 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 2015-08-03
1720482409 Torie A Hatton Nurse Practitioner 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 2014-10-09
1558764928 Rita Wilson Nurse Practitioner 165 Natchez Trace Ave, Suite 205, Bowling Green, KY 42103-7940 2014-09-30
1669872362 Amy L Hatcher Nurse Practitioner 165 Natchez Trace Ave, Bowling Green, KY 42103-7940 2014-08-29
1417366402 Rebecca Grayson Physical Therapist 165 Natchez Trace Ave, Ste 200, Bowling Green, KY 42103-7940 2014-08-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679127781 Kw Consulting, LLC Counselor 1054 Searcy Way, Suite E, Bowling Green, KY 42103 2019-07-26
1063999662 Southern Kentucky Surgicenter, LLC Clinic/Center 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 2018-07-26
1780170936 Midsouth Psychological Services, LLC Psychologist 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 2018-07-10
1760976146 Prorehab Inc Clinic/Center 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 2018-06-19
1063927671 James Toney Counselor 624 Eastwood St, Bowling Green, KY 42103 2017-12-05
1366979528 Laura Elizabeth Compton Optometrist 335 New Towne Drive, Bowling Green, KY 42103 2017-05-18
1033562632 Elizabette Raby Massage Therapist 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 2016-07-19
1831572460 Casey Edward Travelsted Dentist 940 Us 31 W Bypass, Bowling Green, KY 42103 2015-07-01
1821435074 Robert Louis Skaggs II Dermatology 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 2013-05-29
1770893257 Michelle Howell Health Educator 261 Moats Lane, Bowling Green, KY 42103 2010-10-18
Find all providers in zip 42103

Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386735371 Bowling Green Orthopaedics Inc. Orthopaedic Surgery 1215 Ridgewood Dr Ste A, Bowling Green, OH 43402-2694 2006-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710084009 Steven Jay Lawrence Orthopaedic Surgery 740 S Limestone, Lexington, KY 40536-0001 2006-09-20
1245256270 Jason S Harrod Orthopaedic Surgery 3480 Yorkshire Medical Park, Lexington, KY 40509 2006-07-14
1548261944 Mark E Petrik Orthopaedic Surgery 13151 Magisterial Dr, Ste 200, Louisville, KY 40223-4103 2005-08-09

Competitor

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City BOWLING GREEN
Zip Code 42103

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Dataset Information

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.

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