Active NPI
Timothy Fleming M.D. PC
- Cardiovascular Disease Physician
- Worland, WY
National Provider Identifier
1700875754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- TIMOTHY FLEMING M.D. PC
- Practice address
- 1511 Charles Ave
Worland, WY 82401-4122 - Phone
- (307) 347-2405
- NPI assigned
- Oct 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Fleming, M.D.
- Title
- President
- Phone
- (307) 765-4302
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1511 Charles Ave
Worland, WY 82401-4122
Mailing address
449 Mountain View St
Powell, WY 82435-2232
Phone (307) 754-4559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00399001 | Other | WY | BLUE CROSS BLUE SHEILD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Worland, WY
- NPI 1033108071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700875754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 MOUNTAIN VIEW ST",
"city": "POWELL",
"state": "WY",
"postal_code": "824352232",
"telephone_number": "307-754-4559",
"fax_number": "307-754-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 CHARLES AVE",
"city": "WORLAND",
"state": "WY",
"postal_code": "824014122",
"telephone_number": "307-347-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY FLEMING M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-765-4302",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "00399001",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worland, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.