Timothy J Pirnat M.D. Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

35-05-9586 Issued in OH

Legal business name

TIMOTHY J PIRNAT M.D. INC

Practice address

12980 Sabina Rd
Leesburg, OH 45135-9578

Phone

(937) 218-6635

Fax

(888) 422-2159

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Jay Pirnat, MD

Title

President

Phone

(937) 383-2238

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1174712939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "LEESBURG",
            "state": "OH",
            "postal_code": "451350347",
            "telephone_number": "937-218-6635",
            "fax_number": "888-422-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 SABINA RD",
            "city": "LEESBURG",
            "state": "OH",
            "postal_code": "451359578",
            "telephone_number": "937-218-6635",
            "fax_number": "888-422-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J PIRNAT M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "PIRNAT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-383-2238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35-05-9586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109773",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Ann Roberts
• Audrey Nichole Scott
• Dee Shelton
• Eva Speakman
• Traci Brooke Surber, PSY.D
• Christina Lynn Wiley, LPN
• Jackie E. Wolgamott

• All providers in Leesburg, OH
• Legal Medicine in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.