Otwell Dudley Timmons

MD | Pediatric Critical Care Medicine | Male

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Complete Profile:

Otwell Dudley Timmons basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Critical Care Medicine
Provider Name :	Otwell Dudley Timmons
Credential :	MD
Gender :	Male

Business Address:

Otwell Dudley Timmons address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1001 Blythe Blvd, Medical Center Plaza Suite 200 Charlotte, NC, 28203-5866 United States
Phone Number :	704-381-8840

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1568495067
NPI Entity Type :	Individual
First Enrolment Date :	08 Jul, 2006
Last Updated On :	04 May, 2023

Medicare Participation:

Otwell Dudley Timmons participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4486752045
Medicare Enrollment ID :	I20070605000281
Primary Specialty :	Critical Care (intensivists)
Medical School :	University Of Arkansas College Of Medicine
Graduation Year :	1984
Accepts Medicare?	Yes. Otwell Dudley Timmons accepts medicare insurance.

Group Practice Association:

Otwell Dudley Timmons is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Otwell Dudley Timmons is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Carolinas Medical Center	4789597477	728	1000 Blythe Blvd Charlotte, NC - 282035812	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Otwell Dudley Timmons are as mentioned. Primary taxonomy code for Otwell Dudley Timmons, MD is 2080P0203X (Pediatrics, Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0203X	Pediatrics, Pediatric Critical Care Medicine	Yes	9300610	NC
208000000X	Pediatrics	No	9300610	NC

Other Practice Locations:

Practice Address	City, State	Phone Number
1350 S KINGS DR, CHARLOTTE, NC, 28207-2134 United States	CHARLOTTE, NC	704-446-1422

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 19305 Charlotte, NC, 28219-9305 United States

Business Location:

Patients can refer following map for directions to Otwell Dudley Timmons practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.