Timothy J. Kappes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA089 Issued in KY

Practice address

47 Cavalier Blvd
Ste 100
Florence, KY 41042-3970

Phone

(859) 647-7800

Fax

(859) 647-7803

NPI assigned

Jun 15, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Physician Assistant

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.

• Hansen Pain and Wellness

  • Pain Medicine Physician
  • Crestview Hills, KY
  • NPI 1235975749
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306841515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-647-7800",
            "fax_number": "859-647-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CAVALIER BLVD",
            "address_2": "STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410423970",
            "telephone_number": "859-647-7800",
            "fax_number": "859-647-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPES",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA089",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-0629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000899",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Joseph Kaminsky, LPCA
• Leann Kane VI, LISW
• Gary Kanter, M.D.
• Gaurij Kapote, D.D.S.
• Megan Kappes, RPH
• Arik Kashner
• Kathryn Blair Plymale LLC
• Feryal Khan Katsikas, M.A./ LPCC
• Shivam Ram Kedia, DO
• Ellen Brooke Kelly, OD

• Physician Assistant in Florence, KY
• Providers in Florence, KY by specialty
• Physician Assistant in Kentucky

• 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.

Verify at the official NPI Registry.