Active NPI
Timothy Joseph Judge, M.D.
- Internal Medicine Physician
- Lincoln, NE
National Provider Identifier
1174624456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14822
- Practice address
- 600 S 70TH St
Lincoln, NE 68510-2451 - Phone
- (402) 489-3802
- Fax
- (402) 486-7861
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14822 | NE | Primary |
Addresses
Primary practice location
600 S 70TH St
Lincoln, NE 68510-2451
Mailing address
2131 S 66TH St
Lincoln, NE 68506-2881
Phone (402) 488-6741
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14822 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174624456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 S 66TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685062881",
"telephone_number": "402-488-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102451",
"telephone_number": "402-489-3802",
"fax_number": "402-486-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "14822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.