Timothy Blain
M.D. | Pediatrics | Male
Timothy Blain, M.D. is a Englewood, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Timothy Blain is
779 Medical Dr Ste 2, Englewood, Florida - 34223-3980. He can be contacted on phone at
941-698-6363 and fax number 941-800-5848.
Timothy Blain is a sole proprietor of his business.
NPI number (Unique professional ID) for Timothy Blain is
1558451849 which was assigned by NPPES on 15 Oct, 2006 and it was last updated on 24 Jul, 2021.
Timothy Blain license number is
ME107462 for Pediatrics (208000000X) in Florida.
Timothy Blain is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Timothy Blain basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Timothy Blain |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Timothy Blain 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 : | 779 Medical Dr Ste 2
Englewood, FL, 34223-3980
United States |
|---|
| Phone Number : | 941-698-6363 |
|---|
| Fax Number : | 941-800-5848 |
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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 : | 1558451849 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Oct, 2006 |
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| Last Updated On : | 24 Jul, 2021 |
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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 Timothy Blain are as mentioned. Primary taxonomy code for Timothy Blain, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | ME107462 | FL |
| 208000000X | Pediatrics | Yes | ME107462 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Timothy Blain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003184600 | MEDICAID | FL | |
| P00865254 | Other | FL | RAILROAD MEDICARE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
900 EAST PINE ST, SUITE 111
ENGLEWOOD, FL, 34223-4418
United States | ENGLEWOOD, FL | 941-475-9869 |
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).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | swfldpc@atlast.direct
| No affiliation | DIRECT
Direct
| CSV
CSV
| 779 MEDICAL DR STE 2,
ENGLEWOOD, FL, 34223-3980
United States |
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 : | 779 Medical Dr Ste 2
Englewood, FL, 34223-3980
United States |
|---|
| Phone Number : | 941-698-6363 |
|---|
| Fax Number : | 941-800-5848 |
|---|
Business Location:
Patients can refer following map for directions to
Timothy Blain 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.