Individual provider Active NPI

Ronald Felix Yu Tiamco, M.D.

  • Pediatrics Physician
  • Boaz, AL
National Provider Identifier
1538122825
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21626 Issued in AL
Practice address
2891 US Highway 431
Boaz, AL 35957-5854
Phone
(256) 840-1716
NPI assigned
Apr 9, 2006
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21626 AL Primary

Addresses

Primary practice location

2891 US Highway 431
Boaz, AL 35957-5854

Mailing address

2891 US Highway 431
Boaz, AL 35957-5854
Phone (256) 840-1716

Other identifiers 1

IdentifierTypeStateIssuer
009958040MedicaidAL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21626ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B & a Childrens Clinic PC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1538122825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575854",
            "telephone_number": "256-840-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575854",
            "telephone_number": "256-840-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU TIAMCO",
        "first_name": "RONALD FELIX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "21626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009958040",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.