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Hey, Find It

TIM E TABER M.D., NPI 1104823509

Internal Medicine in INDIANAPOLIS, IN

Last Updated on : Nov 19,2020

TIM E TABER M.D., NPI 1104823509

About TIM E TABER (NPI 1104823509)


TIM E TABER is an Internal Medicine provider in INDIANAPOLIS, United States. His medical specialization is Internal Medicine with a focus in Nephrology.

1104823509 is NPI number of TIM E TABER.

TIM E TABER's primary taxonomy code based on NPI Lookup is 207RN0300X with license number 01031282. This taxonomy code refers to Internal Medicine.

TIM E TABER has more than 16 years of experience.

TIM E TABER current practice location address is 550 UNIVERSITY BLVD, INDIANAPOLIS, IN. TIM E TABER can be reached out via phone at 317-948-0505 and via fax at 317-948-3268 .

You can also correspond with TIM E TABER through mail at mailing address 250 N SHADELAND AVE, INDIANAPOLIS, IN, United States.

The enumeration date of TIM E TABER is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1104823509 NPI Information

Basic NPI information of TIM E TABER (NPI 1104823509) is provided below.

Name TIM E TABER
National Provider Id (NPI) 1104823509
Entity Type Individual
Gender M
Credential M.D.
Practice Address 550 UNIVERSITY BLVD, SUITE 4620
INDIANAPOLIS, IN, United States
Practice Telephone 317-948-0505
Practice Fax Number 317-948-3268
Mailing Address 250 N SHADELAND AVE ,
INDIANAPOLIS, IN, United States
Mailing Telephone
Mailing Fax Number
Enumeration Date 30-Jun-2005
Last Updated Date 19-Nov-2020

TIM E TABER (NPI 1104823509) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RN0300X Internal Medicine, Nephrology 01031282 IN

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
000000083030 Other (non-Medicare) (01) IN Anthem number
0763301 MEDICARE PIN (08) IN
100193100 MEDICAID (05) IN
264910BUUU MEDICARE PIN (08) IN
B28408 MEDICARE UPIN (02) IN

TIM E TABER (NPI 1104823509) Office Location

Office location of TIM E TABER is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1366553570 GARY L BRESLAUER Dental Assistant 6117 N COLLEGE AVE,
INDIANAPOLIS, ID, United States
31-Aug-2006
1033214945 JUDY MOORMAN BIRT Nurse Practitioner 1481 W 10TH STREET, AMB 11
INDIANAPOLIS, IL, United States
14-Sep-2006
1225306913 MARIA VICTORIA HERBOLARIO Contractor 5980 W 71ST ST STE 102,
INDIANAPOLIS, IL, United States
08-Dec-2011
1922164631 ROBERT A STONER Dentist, Orthodontics and Dentofacial Orthopedics 8902 N MERIDIAN ST, SUITE 137
INDIANAPOLIS, IL, United States
28-Dec-2006
1366508483 RICHARD (RICK) D SPENCER Social Worker, Clinical 6284 RUCKER RD, SUITE N
INDIANAPOLIS, IN, United States
01-Jan-2007
1730364431 NANCY G EVANS Physical Therapist PO BOX 40696,
INDIANAPOLIS, IN, United States
01-Jan-2008
1053732404 NANCY HENEIN Psychologist, Clinical 70 E 91ST ST, SUITE 210
INDIANAPOLIS, IN, United States
01-Jan-2014
1316335144 DAMIA L SCOTT Nurse Practitioner, Family 437 BAGLEY LN,
INDIANAPOLIS, IN, United States
01-Jan-2015
1619333978 SUSAN JENNIFER ZWEIG Pharmacist, Pharmacotherapy 8111 S EMERSON AVE,
INDIANAPOLIS, IN, United States
01-Jan-2016
1952818809 KATHLEEN A. GANNON Nurse Practitioner, Family 8501 HARCOURT RD,
INDIANAPOLIS, IN, United States
01-Jan-2018
1164589073 CHRISTINE MARIE DOCKREY Counselor, Mental Health 7 E HENDRICKS ST,
SHELBYVILLE, IN, United States
02-Jan-2007
1558428482 PHYSIOTHERAPY ASSOCIATES INC Clinic/Center, Physical Therapy 301 E NEW YORK ST,
INDIANAPOLIS, IN, United States
02-Jan-2007
1154488963 COLE VISION CORPORATION Eyewear Supplier (Equipment, not the service) 3919 LAFAYETTE RD, LAFAYETTE SQ #400
INDIANAPOLIS, IN, United States
02-Jan-2007
1477610293 WESLEY BLAKE WONG Psychiatry & Neurology, Neurology 4753 E 136TH ST,
CARMEL, IN, United States
02-Jan-2007
1902963507 CARL LERNER Dentist, Periodontics 8937 SOUTHPOINTE DR, SUITE A-2
INDIANAPOLIS, IN, United States
02-Jan-2007
1588849285 DAWN WAFER Licensed Practical Nurse 319 S 12TH ST,
RICHMOND, IN, United States
02-Jan-2008
1245415819 TAMARA ABERNATHY Licensed Practical Nurse 3002 E 34TH ST,
INDIANAPOLIS, IN, United States
02-Jan-2008
1366788861 JESSICA WITTBRODT Speech-Language Pathologist, 4920 ENCORE DR, APT 11
INDIANAPOLIS, IN, United States
02-Jan-2013
1396166765 JOSEPH LAROSA Obstetrics & Gynecology 700 E SOUTHPORT RD,
INDIANAPOLIS, IN, United States
02-Jan-2014
1285022046 SARA MALLAMS Occupational Therapist 7305 NANTUCKET CT, 1A
INDIANAPOLIS, IN, United States
02-Jan-2015

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1104823509?

1104823509 is the NPI number of TIM E TABER.

What is the specialty for TIM E TABER?

The Specialty of TIM E TABER is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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