DR. TIMOTHY ALAN BLECKLEY (NPI# 1568025526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568025526 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY ALAN BLECKLEY |
| Credential | MD |
| Practice Address |
233 N Houston Rd Ste 140e Warner Robins GA 31093-3023 |
| Practice Telephone | 4789756880 |
| Practice Fax Number | 4789756869 |
| Mailing Telephone | 4789756880 |
| Mailing Fax Number | 4789756869 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
233 N HOUSTON RD STE 140E |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31093-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437201407 | Stewart V Grizzard | Family Medicine | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2007-01-18 |
| 1962022780 | Andrew Gubler | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-22 |
| 1851911796 | Lindsay Watson | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1255951125 | Monica Michelle Gifford | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1598385387 | Abdul Majeed Hussain | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1588284434 | Stephen Paul Tobin | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1164042073 | Christopher Orlando | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1376106476 | Aisha Tabba | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2019-04-15 |
| 1104389410 | Amy Renee White Jones | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2019-04-12 |
| 1316400559 | Khin Sandi Win | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
| 1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
| 1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
| 1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
| 1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
| 1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
| 1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
| 1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
| Find all providers in zip 31093 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544133 | Cristina Lanae Johnson | Student in an Organized Health Care Education/Training Program | 621 Miller Dr, Warner Robins, GA 31093-3229 | 2019-08-21 |
| 1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
| 1821552415 | Juanita Whitehead | Student in an Organized Health Care Education/Training Program | 835 Johnson Rd Apt 16, Warner Robins, GA 31093-7221 | 2019-01-28 |
| 1861956781 | Ladonna Marie Sturn | Student in an Organized Health Care Education/Training Program | 1313 Ennis Ave, Warner Robins, GA 31093-1861 | 2019-01-24 |
| 1558834747 | Erica Balkcum | Student in an Organized Health Care Education/Training Program | 103 Rustic Oaks Ct, Warner Robins, GA 31088-1516 | 2019-01-10 |
| 1114424827 | Tiffany Cross | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 104e, Warner Robins, GA 31093-8944 | 2018-04-09 |
| 1821535196 | Katherine Davis | Student in an Organized Health Care Education/Training Program | 124 Blue Ridge Ln, Warner Robins, GA 31088-7710 | 2017-01-25 |
| 1962022780 | Andrew Gubler | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-22 |
| 1851911796 | Lindsay Watson | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| 1255951125 | Monica Michelle Gifford | Student in an Organized Health Care Education/Training Program | 233 N Houston Rd Ste 140e, Warner Robins, GA 31093-3023 | 2020-04-21 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31093 |
Please comment or provide details below to improve the information on DR. TIMOTHY ALAN BLECKLEY.
| 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.