Dale Timothy Coombs, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD052426L Issued in PA

Practice address

145 Pleasant Dr
Warren, PA 16365-3371

Phone

(814) 723-8023

Fax

(814) 723-8025

NPI assigned

Nov 18, 2005

Last updated

Dec 9, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1508848987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-723-8023",
            "fax_number": "814-723-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653371",
            "telephone_number": "814-723-8023",
            "fax_number": "814-723-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "DALE",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD052426L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Therapeutics Inc (CTI Physical Therapy)
• Community Anesthesia Services, LLC
• Community Eye Care Specialists, P.C.
• Community Surgery & Laser Center, LLC
• Contract Physical Therapy
• Alli Corbran
• Joshua David Crider, PA
• Michelle Lee Crowther, LSW
• Wade Ritter Crum, D.M.D.
• Jamie Cummings, PHARMD

• Pediatrics Physician in Warren, PA
• Providers in Warren, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.