MR. TIMOTHY JAMES EDEN (NPI# 1497936652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497936652 |
Entity Type | Individual |
Full Name | MR. TIMOTHY JAMES EDEN |
Credential | CRNP |
Practice Address |
1601 Kirkwood Hwy Wilmington DE 19805-4917 |
Mailing Address |
200 Hygeia Dr Ste 2300 Newark DE 19713-2049 |
Practice Telephone | 3029942511 |
Mailing Telephone | (302) 733-1487 |
Mailing Fax Number | 3027331888 |
Enumeration Date | 2007-11-16 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | L1-0031700 | DE | Nursing Service Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
LB-0000204 | DE | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
LB-0000204 | DE | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4755 Ogletown Stanton Rd Ste 1e10, Newark, DE 197184917 | 3027331487 | 3027331888 |
Street Address |
1601 KIRKWOOD HWY |
City | WILMINGTON |
State | DE |
Zip Code | 19805-4917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174524565 | Indukumar I Solanki | Radiology | 1601 Kirkwood Hwy, Radiology Service, Wilmington, DE 19805-4917 | 2005-08-09 |
1164035515 | Analene Tunacao | Surgery | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-08-26 |
1104435163 | Elyse Verdeyen | Physician Assistant | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-07-27 |
1609493287 | Jennifer Ann Minnick | Student in an Organized Health Care Education/Training Program | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-30 |
1639796113 | Leanne Bridget Heuer | Optometrist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-30 |
1104441054 | Kristina Andrews | Optometrist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-06-16 |
1073136313 | Henry Mattia Tucker | Social Worker | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-05-21 |
1104447184 | Hae Sun Kim | Pharmacist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-05-01 |
1518504075 | Frederick Tibuah | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2019-12-04 |
1912549940 | Rachel Klein | Psychologist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2019-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
Find all providers in zip 19805 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326486176 | Holly Campbell Smith | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2013-06-13 |
1164775888 | Jennifer Reynolds Parrotte | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2012-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730182155 | Jeanne T Mcconnell | Nurse Practitioner | 4765 Ogletown Stanton Rd, Suite 1e20, Newark, DE 19713-8003 | 2005-05-31 |
1295206712 | Daniel Michael Farmer | Nurse Practitioner | 424 Savannah Rd, Lewes, DE 19958-1462 | 2018-12-10 |
1306940978 | Deborah W Warshawsky | Nurse Practitioner | 640 S State St, Cardiac Cath Lab, Dover, DE 19901-3530 | 2006-09-12 |
City | WILMINGTON |
Zip Code | 19805 |
Please comment or provide details below to improve the information on MR. TIMOTHY JAMES EDEN.
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.