Timothy J Durham in South Bend - Pediatrics
Timothy J Durham - NPI 1811987613
Timothy J Durham is a Pediatrics in South Bend, Indiana. Timothy J Durham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Timothy J Durham is 1811987613. The last update date is 2015-02-04.
Timothy J Durham's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742337337 and fax number 5742391561. The mailing address for Timothy J Durham is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J Durham |
|---|---|
| Address | 211 N Eddy St, South Bend, Indiana |
| Phone Number | 5742337337 |
| Fax Number | 5742391561 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811987613 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2015-02-04 |
Provider Mailing Address Detail
| Address | 211 N Eddy St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172808 |
| Phone Number | 5742337337 |
| Fax Number | 5742391561 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 01035875A |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100090860 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy J Durham by the Centers for Medicare & Medicaid Services?
The Timothy J Durham has been issued the NPI (National Provider Identifier) 1811987613, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy J Durham?
The Timothy J Durham is physically situated at 211 N Eddy St, in the city of South Bend, state of IN, with the postal code 466172808.
What is Timothy J Durham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy J Durham is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did Timothy J Durham receive its 1811987613 assignment from the Centers for Medicare & Medicaid Services?
The Timothy J Durham was assigned its 1811987613 on 2005-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Timothy J Durham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy J Durham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-04.