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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 631101032 | 3147472500 | 3147472598 |
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 |
Street Address |
165 NATCHEZ TRACE AVE |
City | BOWLING GREEN |
State | KY |
Zip Code | 42103-7940 |
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 |
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 Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
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. |
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 |
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 |
City | BOWLING GREEN |
Zip Code | 42103 |
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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.