Timothy R Tanselle, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01028702 Issued in IN

Practice address

1500 Darlington Ave
Ste 300
Crawfordsville, IN 47933-2057

Phone

(765) 362-4940

Fax

(765) 362-1302

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Interoperability endpoints

• Direct secure messaging: ttanselle68044@direct.franciscanalliance.org

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.

• Athens Medical Group LLC

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1043444714

  Family Medicine

  NPD (past)
• Athens Medical Group, Inc

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1831205210

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1154317907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DRIVE",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4284",
            "fax_number": "317-865-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DARLINGTON AVE",
            "address_2": "STE 300",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332057",
            "telephone_number": "765-362-4940",
            "fax_number": "765-362-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSELLE",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028702",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01028702A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000175365",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100185470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER PTAN",
            "identifier": "M471400010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sugar Creek Eyecare, P.C.
• Ravinder Surakanti, M.D.
• Tyler C Swaim, MSW, CPRS
• Linda M Tague, MD
• Eugene F Tan, MD
• Stephanie Ann Taylor, FNP-C
• Samantha Thayer Neal
• The Health and Hospital Corporation of Marion County
• The Kids' Dentist, PC
• The Mindful Willow, LLC

• All providers in Crawfordsville, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.