Active NPI
Timothy A. Love, MD
- Emergency Medicine Physician
- Fort Thomas, KY
National Provider Identifier
1528082633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23890
- Practice address
- 85 N Grand Ave
Fort Thomas, KY 41075-1793 - Phone
- (859) 572-3617
- Fax
- (859) 572-2366
- NPI assigned
- Jul 26, 2006
- 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 | 23890 | KY | Primary |
Addresses
Primary practice location
85 N Grand Ave
Fort Thomas, KY 41075-1793
Mailing address
PO Box 18667
Erlanger, KY 41018-0667
Phone (859) 572-3617
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64237894 | Medicaid | KY | |
| 200095210 | Medicaid | IN | |
| 0644440 | Medicaid | OH |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1528082633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18667",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410180667",
"telephone_number": "859-572-3617",
"fax_number": "859-572-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751793",
"telephone_number": "859-572-3617",
"fax_number": "859-572-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "TIMOTHY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "23890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64237894",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200095210",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0644440",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.