Organization Active NPI

Timothy M Hickey LLC

  • Neurology Physician
  • Toledo, OH
National Provider Identifier
1063505956
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35083960M Issued in OH
Legal business name
TIMOTHY M HICKEY LLC
Practice address
4260 Monroe St
Toledo, OH 43606-1944
Phone
(419) 690-8273
Fax
(419) 930-0605
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy Michael Hickey, MD
Title
Owner
Phone
(419) 690-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 35083960M OH Primary

Addresses

Primary practice location

4260 Monroe St
Toledo, OH 43606-1944

Mailing address

2019 Wildwood Blvd
Toledo, OH 43614-4231
Phone (419) 690-8273

National Provider Directory

National Provider Directory

Locations

2735 Navarre Ave
Ste 102
Oregon, OH 43616
Phone (567) 315-8786

1050 Isaac Streets Dr
Ste 134
Oregon, OH 43616
Phone (419) 696-7200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1063505956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 WILDWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144231",
            "telephone_number": "419-690-8273",
            "fax_number": "419-930-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061944",
            "telephone_number": "419-690-8273",
            "fax_number": "419-930-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M HICKEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-690-8273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35083960M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.