AUTUMN TIMKO (NPI# 1982005211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982005211 |
| Entity Type | Individual |
| Full Name | AUTUMN TIMKO |
| Practice Address |
3853 State Route 193 Cortland OH 44410-9792 |
| Practice Telephone | 3309849365 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3853 STATE ROUTE 193 |
| City | CORTLAND |
| State | OH |
| Zip Code | 44410-9792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184152654 | Jeremy Taylor | Dentist | 481 S High St, Cortland, OH 44410 | 2017-05-30 |
| 1114454881 | Lauren Whiting | Occupational Therapy Assistant | N High St, Cortland, OH 44410 | 2017-05-12 |
| 1508306887 | Renee Evans | Adult Companion | 2801 Ravine Run, Cortland, OH 44410 | 2017-03-06 |
| 1033405915 | Dennis A Benton | Dentist | 320 Windsor Dr., Cortland, OH 44410 | 2011-06-20 |
| 1508161084 | Deidre L Jones | Registered Nurse | 286 Rosewae Ave, Cortland, OH 44410 | 2011-01-14 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1265670442 | Carl E Cook | Dentist | 220 Windsor Drive, Cortland, OH 44410 | 2009-01-27 |
| 1225178767 | Ryan Anthony Barnot | Chiropractor | 3637 State Rt 5, Suite 5, Cortland, OH 44410 | 2007-02-07 |
| 1619013059 | Harvey Jay Feenstra | Chiropractor | 191 S Mecca St, Cortland, OH 44410 | 2007-01-30 |
| 1366507428 | Sandra Kay Martin | Licensed Practical Nurse | 3211 Unit D Woodland Trail, Cortland, OH 44410 | 2006-12-27 |
| Find all providers in zip 44410 | ||||
| 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 |
|---|---|---|---|---|
| 1841897220 | Elise Dolbier | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1265060859 | Lyudmila Levitskaya | Student in an Organized Health Care Education/Training Program | 3663 Fairview Dr, Cortland, NY 13045-9331 | 2020-03-30 |
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1619361821 | Kelly Noble | Student in an Organized Health Care Education/Training Program | 4313 Cosmos Hill Rd, Cortland, NY 13045-9132 | 2015-03-25 |
| 1487251864 | Kevin Broderick | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1578160958 | Colin Albro | Student in an Organized Health Care Education/Training Program | 165 Main St. Ste A, Cortland, NY 13045-3049 | 2020-10-08 |
| 1609482751 | Alyssa Jacklyn Watson | Student in an Organized Health Care Education/Training Program | 165 Main St Ste A, Cortland, NY 13045-3191 | 2020-09-23 |
| 1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
| 1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| Find all providers in CORTLAND | ||||
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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.