DR. TIMOTHY S. CHURCH (NPI# 1770720955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770720955 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY S. CHURCH |
| Credential | MD, MPH, PHD |
| Practice Address |
6400 Perkins Rd Baton Rouge LA 70808-4124 |
| Practice Telephone | 2257632632 |
| Practice Fax Number | 2257633014 |
| Mailing Telephone | 2257632632 |
| Mailing Fax Number | 2257633014 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
MD.12793R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LA BOARD OF PHARMACY | 33934 | 01 |
| LA | LA CONTROLLED SUBSTANCE/REGULATED CHEMICAL LICENSE | BC6148503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217827 | Timothy J Church | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-09-13 |
| Street Address |
6400 PERKINS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003979873 | Kishore M Gadde | Psychiatry & Neurology | 6400 Perkins Rd, Baton Rouge, LA 70808 | 2006-12-19 |
| 1205472784 | Catherine Anne Thomas | Dietitian, Registered | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2019-11-20 |
| 1922566934 | Louisiana State University | Clinic/Center | 6400 Perkins Rd, Baton Rouge, LA 70808-0102 | 2019-03-08 |
| 1548727704 | Tiffany Mae Stewart | Psychologist | 6400 Perkins Rd, Baton Rouge, LA 70808-0102 | 2019-02-25 |
| 1427429059 | Informd Solutions LLC | Durable Medical Equipment & Medical Supplies | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2015-10-08 |
| 1144697657 | Laura Brown | Psychologist | 6400 Perkins Rd, Bldg D, First Floor, Baton Rouge, LA 70808 | 2015-09-01 |
| 1801197363 | Donna Ryan | Internal Medicine | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2010-11-15 |
| 1134456999 | Frank Lyons Greenway IIi | Internal Medicine | 6400 Perkins Rd, Pennington Center, Baton Rouge, LA 70808-4124 | 2009-11-15 |
| 1992039242 | Nathan Edward Britt | Nurse Practitioner | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2009-09-18 |
| 1508093402 | Crystal Paige Traylor | Nurse Practitioner | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2009-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386966380 | Bernadette Barrameda Borja | Specialist | 1440 Canal St # Sl18, New Orleans, LA 70112-2703 | 2010-02-18 |
| 1841647864 | Marcil Seals | Specialist | 140 Crimson St, Opelousas, LA 70570-1220 | 2016-05-19 |
| 1528310620 | Tulane University | Specialist | 1440 Canal St, New Orleans, LA 70112-2703 | 2012-10-12 |
| 1336455161 | Cyril Yarling Bowers | Specialist | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2010-08-31 |
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on DR. TIMOTHY S. CHURCH.
| 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.