Active NPI
Timothy Labelle, MD
- Emergency Medicine Physician
- Newburgh, IN
National Provider Identifier
1356327548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01046298A
- Practice address
- 1094 Jefferson CT
Newburgh, IN 47630-1614 - Phone
- (812) 962-8881
- NPI assigned
- Dec 20, 2005
- Last updated
- Aug 4, 2014
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01046298A | IN | Primary |
Addresses
Primary practice location
1094 Jefferson CT
Newburgh, IN 47630-1614
Mailing address
1094 Jefferson CT
Newburgh, IN 47630-1614
Phone (812) 962-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200151980 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01046298A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients | |
| St. Mary's Emergency Physicians, LLC | Emergency 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deaconess Comprehensive Pain Management - Jasper
- Pain Medicine Physician
- Jasper, IN
- NPI 1457164543
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1609101849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1356327548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1094 JEFFERSON CT",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476301614",
"telephone_number": "812-962-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 JEFFERSON CT",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476301614",
"telephone_number": "812-962-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABELLE",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01046298A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200151980",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.