Timothy Gates LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TIMOTHY GATES LLC

Practice address

16250 Northland Dr Ste 369
Southfield, MI 48075-5208

Phone

(248) 798-8433

Fax

(248) 487-9410

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Timothy Gates, FNP-BCNPI 1487155024

Title

Nurse Practitioner

Phone

(248) 842-3755

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy O Gates, FNP-BC

  • Family Nurse Practitioner
  • Southfield, MI
  • NPI 1487155024
  Medicare reassignment NPD Authorized official
• Robert C. Orr, DO

  • General Practice Physician
  • Farmington, MI
  • NPI 1326114927
  Medicare reassignment NPD

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1619467677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14415 WOODMONT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482274710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 369",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755208",
            "telephone_number": "248-798-8433",
            "fax_number": "248-487-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY GATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "248-842-3755",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Joyce Tigner
• Galina Tikh, M.D.
• Time of Glory Counseling Services
• Steven B.H. Timmis, M.D.
• Alexis Timmreck
• Moyna Tindle
• Tingling Orthodontics PLLC
• Howard Leslie Tingling, DDS MS
• Julian Tinpan
• Shontavia Tinsley

• Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.