Active NPI
Timothy P. Lund, MD
- Occupational Medicine Physician
- Warsaw, IN
National Provider Identifier
1265475701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 01043652
- Practice address
- 3151 E Center Street Ext
Warsaw, IN 46582-3901 - Phone
- (574) 267-3070
- Fax
- (574) 267-4813
- NPI assigned
- Jun 13, 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 01043652 | IN | Primary |
Addresses
Primary practice location
3151 E Center Street Ext
Warsaw, IN 46582-3901
Mailing address
50870 Coventry CT
Elkhart, IN 46514-6078
Phone (309) 230-6837
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01043652 | IN | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlebury Family Physicians, Inc | Past | Accepting new patients | |
| U.S. Healthworks Medical Group of Indiana, PC | Occupational Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Middlebury, IN
- NPI 1366464869
-
- Urgent Care Clinic/Center
- Warsaw, IN
- NPI 1083163273
Occupational Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265475701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50870 COVENTRY CT",
"city": "ELKHART",
"state": "IN",
"postal_code": "465146078",
"telephone_number": "309-230-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 E CENTER STREET EXT",
"city": "WARSAW",
"state": "IN",
"postal_code": "465823901",
"telephone_number": "574-267-3070",
"fax_number": "574-267-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "TIMOTHY",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "IN",
"license": "01043652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, IN
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.