Timothy Alexander Carver, ATC, AT
Individual provider Active NPI Athletic Trainer · Oberlin, OH
NPI 1750354429 · NPPES record last updated Sep 7, 2015
Key facts
- NPI
- 1750354429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT-290 (OH)
- Practice address
- 200 Woodland St
Oberlin, OH 44074-1051 - Phone
- (440) 775-8589
- Fax
- (440) 775-5262
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-290 | OH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-290 | OH | Yes |
Addresses
Primary practice location
200 Woodland St
Oberlin, OH 44074-1051
Mailing address
123 S Lake St
South Amherst, OH 44001-3001
Phone (440) 986-2257
Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.