DR. TIMOTHY DONALD MACON (NPI# 1679561443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679561443 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY DONALD MACON |
| Credential | D.O.,F.C.C.P. |
| Practice Address |
780 N Gavord Rd Sterling MI 48659-9703 |
| Practice Telephone | 9896542168 |
| Practice Fax Number | 9896542825 |
| Mailing Telephone | 9896542168 |
| Mailing Fax Number | 9896542825 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
TM009037 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UNITED HEALTH PLAN | 383563124 | 01 |
| MI | 4261168 | 05 | |
| MA | MCLAREN HEALTH ADVANTAGE | 1000781 | 01 |
| MI | RAIL ROAD MEDICARE | 110216075 | 01 |
| MI | PREFERRED CHOICE | 122278 | 01 |
| MI | AETNA | 4509887 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 115651012 | 01 |
| MI | BLUE CARE NETWORK | 115651012 | 01 |
| MA | CENTRAL HEALTH PLAN OF MI | 302002 | 01 |
| MI | MCLAREN HEALTH PLAN | 1007603 | 01 |
| MI | UNITED HEALTH CARE | 383563124 | 01 |
| MI | PPOM | 383563124 | 01 |
| MI | COMMUNITY CHOICE OF MICH | 383563124101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164499513 | Timothy Macon | Military Health Care Provider | 123 Sully St, Goose Creek, SC 29445-5447 | 2006-03-03 |
| 1184113748 | Timothy Macon | Physical Therapy Assistant | 6200 Oregon Ave Nw, Washington, DC 20015-1543 | 2018-05-08 |
| Street Address |
780 N GAVORD RD |
| City | STERLING |
| State | MI |
| Zip Code | 48659-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790894988 | West Branch Pulmonary Clinic PC | Clinic/Center | 780 N Gavord Rd, Sterling, MI 48659-9703 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627182 | Linda Caren Runyon | Internal Medicine | 725 E State St, Sterling Area Health Center, Sterling, MI 48659-9548 | 2005-08-25 |
| 1104426162 | Sherry J Velasco | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1124628912 | Caleb James Conner | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2020-10-29 |
| 1083251664 | Ashley Meirow Conyer | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-12-03 |
| 1164066452 | Elizabeth Mary Kitchen | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-10-30 |
| 1194280081 | Lynn Alene Meyers | Nurse Practitioner | 725 E State St, Sterling, MI 48659-9548 | 2019-02-05 |
| 1033691159 | Vivian Gallofin | Registered Nurse | 725 E State St, Sterling, MI 48659-9548 | 2018-09-05 |
| 1821407321 | Danyelle Wagner | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2014-08-08 |
| 1689913485 | Summer Elise Tambs | Social Worker | 725 E State St, Sterling, MI 48659-9548 | 2013-02-14 |
| 1558663955 | Hope Murphy | Pharmacist | 725 E State St, Sterling, MI 48659-9548 | 2010-11-17 |
| Find all providers in zip 48659 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
| Find all providers with the same taxonomy | ||||
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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.