Timothy W Calicott, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

C8421 Issued in AR

Practice address

14623 Chambery Dr
Little Rock, AR 72211-5586

Phone

(501) 920-8556

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TWC Emergency Physicians, Inc.

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1710377445
  NPD (past) Authorized official
• Conway Emergency Physicians, P.a.

  • General Practice Physician
  • Conway, AR
  • NPI 1861725871
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1073500542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 CHAMBERY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115586",
            "telephone_number": "501-920-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 CHAMBERY DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115586",
            "telephone_number": "501-920-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICOTT",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C8421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126098001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Teresa Calhoon, MSW, LCSW
• Elizabeth Courtney Calhoun, PT, DPT
• Mya Alexandra Calhoun, RRT
• Richard Allen Calhoun, M. D.
• Summer Hope Calhoun, BS R MR
• Nicholas Callais, MD
• Donald Paul Callan, D.D.S.
• Andrea Callaway, LMSW
• Katelynn Callaway
• Aiden Calloway

• Emergency Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.