TIM LARGE


Address: 550 University Blvd, Indianapolis, IN 46202-5149
Phone: 3172744966

TIM LARGE (NPI# 1386906907) 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) 1386906907
Entity Type Individual
Full Name TIM LARGE
Credential M.D.
Practice Address 550 University Blvd
Indianapolis
IN 46202-5149
Mailing Address 535 Barnhill Dr
Suite 150
Indianapolis
IN 46202-5116
Practice Telephone 3172744966
Mailing Telephone 3179625500
Enumeration Date 2012-06-10
Last Update Date 2017-02-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 11016736A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 550 UNIVERSITY BLVD
City INDIANAPOLIS
State IN
Zip Code 46202-5149

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972162246 Christopher Anthony Lawton Surgery 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 2019-06-11
1013436922 Stephen Neil Quigley Surgery 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 2017-09-12
1881120434 Henry Lee Roberts Surgery 545 Barnhill Dr # 125, Indianapolis, IN 46202 2017-05-02
1407293566 Harry Dwight Brickley Jr. Surgery 1037 Tuckahoe, Indianapolis, IN 46260 2013-05-30
1992044572 John Duncan Macdougall Surgery 7202 Dean Rd, Indianapolis, IN 46240-3628 2013-02-02
1548524176 Jeffrey Lastfogel Surgery 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 2012-06-28
1003178898 Kyle Norris Seudeal Surgery 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 2012-06-08
1679832463 Kalyan Chowdary Gorantla Surgery 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 2012-05-14
1124306824 Amanda Rae Stram Surgery 1426 E Vermont St, Indianapolis, IN 46201-3045 2011-07-28
1790071280 Sanjay Mohanty Surgery 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 2011-06-22
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Competitor

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City INDIANAPOLIS
Zip Code 46202

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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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