Organization Active NPI

Timothy Horsky

  • Surgery Physician
  • Jamestown, TN
National Provider Identifier
1740464908
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1552 Issued in TN
Legal business name
TIMOTHY HORSKY
Practice address
200 Duncan Street
Jamestown, TN 38556
Phone
(931) 752-7851
Fax
(931) 752-7853
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Timothy R Horsky, DO
Title
DO
Phone
(931) 752-7851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 1552 TN Primary

Addresses

Primary practice location

200 Duncan Street
Jamestown, TN 38556

Mailing address

PO Box 932
Jamestown, TN 38556-0932
Phone (931) 752-7851

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

National Provider Directory

National Provider Directory

Locations

200 N Duncan St
Jamestown, TN 38556
Phone (931) 752-7851

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1740464908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560932",
            "telephone_number": "931-752-7851",
            "fax_number": "931-752-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DUNCAN STREET",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-752-7851",
            "fax_number": "931-752-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY HORSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "HORSKY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "931-752-7851",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.