Active NPI
Timothy S Oswald, MD
- Orthopaedic Surgery Physician
- Atlanta, GA
National Provider Identifier
1114965241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 044298
- Practice address
- 6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221 - Phone
- (404) 321-9900
- Fax
- (404) 321-4460
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 044298 | GA | Primary |
Addresses
Primary practice location
6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Mailing address
6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Phone (404) 321-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000944523A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044298 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Central Georiga Fertility Institute | Past | Accepting new patients | |
| Kennestone Hospital, Inc. | Past | Accepting new patients |
Locations
6 Executive Park Dr NE
Ste 10
Atlanta, GA 30329
Phone (404) 321-9900
2550 Windy Hill Rd SE
Ste 220
Marietta, GA 30067
Phone (770) 952-2100
145 N Medical Pkwy
Woodstock, GA 30189
Phone (770) 517-1900
Interoperability endpoints
- toswald92843@directwellstar.org
- toswald6434@choa.gadirect.net
- toswald@poa1811.srs-direct.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1114965241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR NE",
"address_2": "SUITE 10",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292221",
"telephone_number": "404-321-9900",
"fax_number": "404-321-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR NE",
"address_2": "SUITE 10",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292221",
"telephone_number": "404-321-9900",
"fax_number": "404-321-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALD",
"first_name": "TIMOTHY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "044298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000944523A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.