TIMOTHY J THOMPSON (NPI# 1689781791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689781791 |
| Entity Type | Individual |
| Full Name | TIMOTHY J THOMPSON |
| Credential | MD |
| Practice Address |
705 S University Ave Suite 500 Beaver Dam WI 53916-3053 |
| Practice Telephone | 9208858586 |
| Practice Fax Number | 9208858788 |
| Mailing Telephone | 9208858586 |
| Mailing Fax Number | 9208858788 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2015-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40642-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 40642 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1689781791 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568879898 | Timothy Thompson | Marriage & Family Therapist | 399 E Main St Fl 3, Columbus, OH 43215-5384 | 2014-07-18 |
| 1285066191 | Timothy Thompson | Pharmacist | 211 W Center St, Rogersville, MO 65742-8961 | 2013-08-01 |
| 1124233416 | Timothy W. Thompson | Pharmacist | 49 Harrell St., Trion, GA 30753 | 2007-05-11 |
| 1245369206 | Timothy Edward Thompson | Dentist | 241 4th Ave N, Twin Falls, ID 83301-6139 | 2007-03-05 |
| 1376518308 | Timothy Frank Thompson | Family Medicine | 353 Highway 15 N, Pontotoc, MS 38863-1103 | 2006-02-22 |
| 1902885288 | Timothy Timell Thompson Sr. | Pharmacist | 5502 Marvin Shields Blvd., Gulfport, MS 39501 | 2006-01-13 |
| 1013205376 | Timothy Daniel Thompson | Family Medicine | 240 Colonial Cir Ste A, Jamestown, TN 38556-3924 | 2011-07-20 |
| 1578747390 | Timothy Luke Thompson | Specialist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2007-12-28 |
| 1790826204 | Timothy James Thompson | Social Worker | 1675 Curlew Drive, Idaho Falls, ID 83406-4718 | 2007-02-08 |
| 1124189055 | Timothy E Thompson | Dentist | 720 E Highway 61, Winona, MN 55987-5300 | 2006-12-13 |
| Street Address |
705 S UNIVERSITY AVE SUITE 500 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354068 | Paul R Mcmillan | Family Medicine | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2005-08-30 |
| 1043786296 | Sherry Bisbee | Pharmacist | 705 S University Ave, Beaver Dam, WI 53916-3053 | 2018-10-15 |
| 1831549005 | Natalie Ross | Registered Nurse | 705 S University Ave, Suite 300, Beaver Dam, WI 53916-3053 | 2016-06-17 |
| 1770979650 | Bethany N Perry | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2015-04-08 |
| 1639569585 | Sean Thuesen | Specialist/Technologist | 705 S University Ave, Beaver Dam, WI 53916-3053 | 2015-01-30 |
| 1871847731 | Ronay Bjerke | Pharmacist | 705 S University Ave, Suite 180, Beaver Dam, WI 53916-3053 | 2012-10-30 |
| 1366725541 | Bryant Randall Kearney | Physician Assistant | 705 S University Ave, Ste 150, Beaver Dam, WI 53916-3053 | 2011-09-23 |
| 1578845202 | Peggy A Katsma | Nurse Practitioner | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2011-09-20 |
| 1164712014 | Catherine Em Nelson | Family Medicine | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2011-04-12 |
| 1306146972 | Jessica Ann Nehls-rennhack | Nurse Practitioner | 705 S University Ave, Suite 500, Beaver Dam, WI 53916-3053 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1538491998 | Beaver Dam Community Hospitals Inc | Family Medicine | 130 Warren St Ste 132, Beaver Dam, WI 53916 | 2010-02-09 |
| 1891894523 | Billy R Allen | Family Medicine | 1520 N Main Street, Beaver Dam, KY 42320-0086 | 2006-09-21 |
| 1841243433 | Victor W. Caceres | Family Medicine | 919 S University Ave, Beaver Dam, WI 53916-3001 | 2006-05-18 |
| 1164473617 | Jamie S Deering | Family Medicine | 705 S University Ave Ste 500, Beaver Dam, WI 53916-3053 | 2006-05-12 |
| 1720047863 | Eric D Miller | Family Medicine | 215 Corporate Dr. Suite A, Paladina Health, Beaver Dam, WI 53916 | 2006-03-18 |
| 1558354068 | Paul R Mcmillan | Family Medicine | 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3053 | 2005-08-30 |
| 1154877504 | Paladina Health, LLC | Family Medicine | 215 Corporate Dr, Suite A, Beaver Dam, WI 53916-3123 | 2016-08-26 |
| 1922468891 | Church Health Services, Inc. | Family Medicine | 115 N Center St, Beaver Dam, WI 53916-2119 | 2016-03-04 |
| 1205248804 | Ayaz Samandani Md Sc | Family Medicine | 215 Corporate Dr, Suite H, Beaver Dam, WI 53916-3123 | 2014-05-30 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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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.