Active NPI
Timothy L Eakes Jr., M.D.
- Diagnostic Radiology Physician
- Troy, AL
National Provider Identifier
1700985744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00005606
- Practice address
- 1330 Highway 231 South
Troy, AL 36081 - Phone
- (334) 566-2783
- Fax
- (334) 670-5369
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00005606 | AL | Primary |
Addresses
Primary practice location
1330 Highway 231 South
Troy, AL 36081
Mailing address
2257 Taylor Rd
Suite 200
Montgomery, AL 36117
Phone (334) 270-9914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51001956 | Other | AL | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005606 | AL | MD | Diagnostic Radiology Physician |
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.
-
- Radiology Clinic/Center
- Troy, AL
- NPI 1003918806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700985744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 TAYLOR RD",
"address_2": "SUITE 200",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "334-270-9914",
"fax_number": "334-270-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 231 SOUTH",
"city": "TROY",
"state": "AL",
"postal_code": "36081",
"telephone_number": "334-566-2783",
"fax_number": "334-670-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAKES",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00005606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51001956",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, AL
- Sarah E Dowdy, CRNP
- David P Dulaney, M.D.
- Thomas Allen Dunn, OD
- Tyesha Durr, LPC
- Kevin S Eady, P.T.
- East Central Mental Health Mental Rerardation, Inc
- East Central Mental Health Mental Retardation
- East Central Mental Health Mental Retardation
- East Central Mental Health Mental Retardation, Inc
- East Central Mental Health Mental Retardation, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.