Timothy Jesse Crimmins, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

27766 Issued in MN

Practice address

1 General Mills Blvd
No2A
Minneapolis, MN 55426-1347

Phone

(763) 764-2362

NPI assigned

Mar 23, 2007

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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1063897593
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528185758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL MILLS BLVD",
            "address_2": "NO2A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261347",
            "telephone_number": "763-764-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL MILLS BLVD",
            "address_2": "NO2A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261347",
            "telephone_number": "763-764-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "TIMOTHY",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "27766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia K. Cretilli
• Sara Creurer, PSY.D., LP
• Elizabeth Crichton
• Derrick Elton Crim, LADC
• Shannon M Crimmins, LMFT
• Vickie Lynn Crisler
• Ebony Crisp, LICSW
• Stephanie Nicole Crissinger, MT-BC
• Amy Crist
• My-Kia Lynia Crist I

• Emergency Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Emergency Medicine Physician in Minnesota

• 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.