Timothy M Eisenhut MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01033758A Issued in IN

Legal business name

TIMOTHY M EISENHUT MD

Practice address

6640 Parkdale PL
Suite U
Indianapolis, IN 46254-5619

Phone

(317) 291-5190

Fax

(317) 291-1510

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Timothy M Eisenhut, MDNPI 1396832887

Title

MD

Phone

(317) 291-5190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Michael Eisenhut, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1396832887
  NPD (past) Authorized official
• Penny Elizabeth Kallmyer, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1538256920
  NPD (past)

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1295009173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL",
            "address_2": "SUITE U",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-291-5190",
            "fax_number": "317-291-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 PARKDALE PL",
            "address_2": "SUITE U",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545619",
            "telephone_number": "317-291-5190",
            "fax_number": "317-291-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M EISENHUT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "EISENHUT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "317-291-5190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01033758A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adryana Timmons
• Kia Timmons
• Michelle Ann Timmons, MD
• Timothy a Goedde MD PC
• Timothy C. Adams DDS LLC
• Timothy O. Krauss
• John William Timothy Jr., MD
• Tina'S Touch Homecare Services LLC
• Anna Marie Tincher
• Laura Tindall

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.