DR. TIMOTHY L CANNIS (NPI# 1659373652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659373652 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY L CANNIS |
| Credential | M.D. |
| Practice Address |
3434 Midway Dr Ste 1002 San Diego CA 92110-4923 |
| Mailing Address |
Po Box 28247 Tempe AZ 85285-8247 |
| Practice Telephone | 6192256200 |
| Practice Fax Number | 6192256208 |
| Mailing Telephone | 4809676500 |
| Mailing Fax Number | 4809676540 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2010-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G034939 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G349390 | 05 |
| Street Address |
3434 MIDWAY DR STE 1002 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241452 | Mark J Tamsen | Emergency Medicine | 3434 Midway Dr, Ste 1002, San Diego, CA 92110-4923 | 2005-08-10 |
| 1114312543 | Kelsey Quinn Gaffney | Physical Therapist | 3434 Midway Dr, Suite 2005a, San Diego, CA 92110-4923 | 2015-04-02 |
| 1497171342 | Evergreen Surgical Center, LLC | Clinic/Center | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2014-03-14 |
| 1720386519 | San Diego Surgery LLC | Specialist | 3434 Midway Dr, 1008, San Diego, CA 92110-4923 | 2011-03-03 |
| 1992003784 | San Diego Ultrasound LLC | Specialist | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2011-03-03 |
| 1346547767 | San Diego Gastroenterology LLC | Specialist | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2011-02-21 |
| 1912239013 | San Diego Ambulatory Surgery Center LLC | Clinic/Center | 3434 Midway Dr, Suite 1006, San Diego, CA 92110-4923 | 2010-02-01 |
| 1073783064 | Richard C. Richley M.d. Inc | Specialist | 3434 Midway Dr, Suite 2001, San Diego, CA 92110-4923 | 2008-03-05 |
| 1518097344 | David M. Kupfer, M.d., Inc. | Plastic Surgery | 3434 Midway Dr, Suite 2004, San Diego, CA 92110-4923 | 2007-03-07 |
| 1760581342 | Outpatient Surgery of Point Loma | Clinic/Center | 3434 Midway Dr, #1006, San Diego, CA 92110-4923 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947317 | Mark Olcott, M.d., Inc. | Emergency Medicine | 3609 Lotus Dr, San Diego, CA 92106-1136 | 2016-12-21 |
| 1578941019 | Trisha Morshed | Emergency Medicine | 200 W Arbor Dr Mc867, San Diego, CA 92103 | 2015-05-18 |
| 1770995789 | Lindsey Ball | Emergency Medicine | 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 | 2014-05-24 |
| 1679910558 | Jeffrey Steven Kurz | Emergency Medicine | 3545 Reynard Way, San Diego, CA 92103-3808 | 2013-05-31 |
| 1265876981 | Alexis Lenz | Emergency Medicine | Ucsd 200 W Arbor Dr, Mc8676, San Diego, CA 92103 | 2013-04-24 |
| 1376881078 | Diane Kopeika Gottschalk | Emergency Medicine | 10221 Wateridge Cir, San Diego, CA 92121-2702 | 2013-01-30 |
| 1598000507 | Julie Watkins-torry | Emergency Medicine | 200 W Arbor Dr # Mc8819, San Diego, CA 92103-1911 | 2012-12-02 |
| 1417212739 | Rodney Sidransky | Emergency Medicine | 7841 Balboa Ave, Suite 202, San Diego, CA 92111-2311 | 2012-07-12 |
| 1598044117 | Charlotte Anne Sadler | Emergency Medicine | 200 W Arbor Dr # 8925, San Diego, CA 92103-1911 | 2011-08-12 |
| 1003103235 | Sarah Wilkinson | Emergency Medicine | 200 W Arbor Dr # 8819, San Diego, CA 92103-1911 | 2011-07-08 |
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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.