Active NPI
Sandra Elizabeth Timerman, M.D.
- Pediatrics Physician
- Watertown, NY
National Provider Identifier
1659323939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 234066-1
- Practice address
- 513 Washington St
Suite 1
Watertown, NY 13601-4073 - Phone
- (315) 788-2211
- Fax
- (315) 788-0956
- NPI assigned
- May 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 234066-1 | NY | Primary |
Addresses
Primary practice location
513 Washington St
Suite 1
Watertown, NY 13601-4073
Mailing address
513 Washington St
Suite 1
Watertown, NY 13601-4073
Phone (315) 788-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02654722 | Medicaid | NY |
Other names 1
- Sandra Elizabeth Crane
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
| License | State | Type | Specialty |
|---|---|---|---|
| 234066-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Adolescent Health Associates | Pediatrics | Past | Accepting new patients |
| Claxton-Hepburn Medical Center | Past | Accepting new patients |
Interoperability endpoints
- stimerman@cahclinics.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Watertown, NY
- NPI 1861589384
-
- Psychiatric Hospital Unit
- Ogdensburg, NY
- NPI 1346301389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1659323939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 WASHINGTON ST",
"address_2": "SUITE 1",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014073",
"telephone_number": "315-788-2211",
"fax_number": "315-788-0956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 WASHINGTON ST",
"address_2": "SUITE 1",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014073",
"telephone_number": "315-788-2211",
"fax_number": "315-788-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMERMAN",
"first_name": "SANDRA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "234066-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02654722",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "CRANE",
"middle_name": "ELIZABETH",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.