Organization Active NPI

Timothy J McCann, MD, PC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1679551733
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TIMOTHY J MCCANN, MD, PC
Practice address
3338 Watson Rd
Saint Louis, MO 63139-2000
Phone
(314) 647-0554
Fax
(314) 647-8387
NPI assigned
Jan 8, 2006
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Timothy J McCann, MDNPI 1538147491
Title
President
Phone
(314) 647-0554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3338 Watson Rd
Saint Louis, MO 63139-2000

Mailing address

3338 Watson Rd
Saint Louis, MO 63139-2000
Phone (314) 647-0554

Other identifiers 1

IdentifierTypeStateIssuer
DG7621OtherMORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3338 Watson Rd
Saint Louis, MO 63139
Phone (314) 347-0554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1136678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1679551733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392000",
            "telephone_number": "314-647-0554",
            "fax_number": "314-647-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392000",
            "telephone_number": "314-647-0554",
            "fax_number": "314-647-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J MCCANN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-08",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-647-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG7621",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.