Timothy Robert Sharpe, DC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

2346 Issued in WI

Practice address

1111 Linden Dr
Holmen, WI 54636-9527

Phone

(608) 526-9693

NPI assigned

Dec 13, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740342302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19676 BLUFFVIEW PL",
            "city": "GALESVILLE",
            "state": "WI",
            "postal_code": "546307272",
            "telephone_number": "608-582-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LINDEN DR",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369527",
            "telephone_number": "608-526-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "WI",
            "license": "2346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38836500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Schindler, RN
• School District of Holmen
• Kimberly Jean Servais, OTR
• Anne L Shandera-Ochsner, PH.D.
• Sharpe Chiropractic & Wellness Clinic SC
• Shoptikal LLC (Shopko Optical 4310)
• Andrea Suzanne Smith
• Karol Ivera Smith, RN
• Talia Joey Smith, PTA
• Sara Smitherman, RN

• Internist Chiropractor in Holmen, WI
• Providers in Holmen, WI by specialty
• Internist Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.