Timothy L Obernuefemann, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD13584 Issued in TN

Practice address

2320 Wilma Rudolph Blvd
Clarksville, TN 37040-5821

Phone

(931) 645-1564

Fax

(931) 645-3842

NPI assigned

Jun 6, 2006

Last updated

Feb 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beechlake Emergency Physicians

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  • NPI 1124077748
  NPD (past)
• Shiloh Emergency Physicians LLC

  • Emergency Medicine Physician
  • McKenzie, TN
  • NPI 1609825462
  NPD (past)
• Tishomingo Health Services, Inc.

  dba Belmont Family Medical Clinic

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1265471932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405821",
            "telephone_number": "931-645-1564",
            "fax_number": "931-645-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405821",
            "telephone_number": "931-645-1564",
            "fax_number": "931-645-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERNUEFEMANN",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD13584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4041102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James O'Rourke, DMD
• Brandon Kenneth Oakley, DC
• Chloe Oakley
• Oasis in-Home Care
• Javanni Obando Monge
• Meghan Tailor Ocasek, S
• Occupational Health Centers of the Southwest PA (Concentra Medical Centers)
• Odigo LLC
• Kendall Grace Odom, COTA/L
• Marty Wayne Odom, MD

• Emergency Medicine Physician in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.