Timothy Melvin Deneau, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3429 Issued in AZ

Practice address

101S. 5TH St; 11TH Floor - National City Tower
C/O Humana, Inc
Louisville, KY 40202

Phone

(480) 256-0703

Fax

(502) 301-5506

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1265645220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 E PRINCESS DR UNIT 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555878",
            "telephone_number": "480-256-0703",
            "fax_number": "502-301-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101S. 5TH ST; 11TH FLOOR - NATIONAL CITY TOWER",
            "address_2": "C/O HUMANA, INC",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "480-256-0703",
            "fax_number": "502-301-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEAU",
        "first_name": "TIMOTHY",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "562",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019496",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary A Demuro, ARNP
• Morgan Demyer, APRN
• Demystify Behavioral and Mental Health Services LLC
• Dendrite Intra-Operative Monitoring
• James Dendy
• Bryan M Denham, M.D.
• Daniel Denham
• Margaret Denicola, MASTER'S DEGREE
• Denise Greene PLLC
• Denise Weber

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.