Active NPI
Timecertian W, PC
- Ophthalmology Physician
- Terre Haute, IN
National Provider Identifier
1073273991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- TIMECERTIAN W, PC
- Practice address
- 1055 S Hunt St
Terre Haute, IN 47803-9702 - Phone
- (317) 925-2200
- NPI assigned
- Dec 20, 2021
- Last updated
- Dec 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Knepp
- Title
- Administrator
- Phone
- (317) 925-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1055 S Hunt St
Terre Haute, IN 47803-9702
Mailing address
1950 W 86TH St
Indianapolis, IN 46260-2035
Phone (317) 925-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Indianapolis | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639958400000",
"number": "1073273991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602035",
"telephone_number": "317-925-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 S HUNT ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478039702",
"telephone_number": "317-925-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMECERTIAN W, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "KNEPP",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "317-925-2200"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1055 S Hunt St",
"city": "Terre Haute",
"state": "IN",
"country_code": "US",
"postal_code": "478039702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.