Active NPI
Timecertain W, PC
- Ambulatory Surgical Clinic/Center
- Terre Haute, IN
National Provider Identifier
1356018014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TIMECERTAIN W, PC
- Practice address
- 1055 S Hunt St
Terre Haute, IN 47803-9702 - Phone
- (317) 925-2200
- NPI assigned
- Aug 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul L Walton
- Title
- Ceo/Owner
- Phone
- (317) 925-2200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Ophthalmologic Surgery Clinic/Center | 261QS0132X |
Addresses
Primary practice location
1055 S Hunt St
Terre Haute, IN 47803-9702
Mailing address
1950 W 86TH St
Indianapolis, IN 46260-2035
Phone (317) 925-2200
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2252175 | Timecertain W, PC | Certificate of waiver | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
1950 W 86th St
Indianapolis, IN 46260
Phone 3179204575307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630281600000",
"number": "1356018014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602035",
"telephone_number": "317-925-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 S HUNT ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478039702",
"telephone_number": "317-925-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMECERTAIN W, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "317-925-2200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.