Timothy J. Haley III MD Apmc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

011406 Issued in LA

Legal business name

TIMOTHY J. HALEY III MD APMC

Practice address

1105 Northwest Blvd
Franklin, LA 70538-3409

Phone

(337) 828-9729

Fax

(337) 828-9740

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy James Haley III, MD

Title

Physician/Owner

Phone

(888) 871-1500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1093977712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705460357",
            "telephone_number": "888-871-1500",
            "fax_number": "337-824-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 NORTHWEST BLVD",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383409",
            "telephone_number": "337-828-9729",
            "fax_number": "337-828-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. HALEY III MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "888-871-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "011406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1328707",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "5M477DF12",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Agape House
• Kimber Lyn Theriot
• Destiny R Thomas
• Falaisha Thomas
• Elisa Thong, PHARM D
• Elizabeth Verret, FNP
• Leslie Vicknair, (R) R.T.
• George M. Viguerie, RPH
• Wal-Mart Stores East LP
• Walgreen Co

• Diagnostic Radiology Physician in Franklin, LA
• Providers in Franklin, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.