Organization Active NPI

Alan Lee Tims MD LLC

  • Colon & Rectal Surgery Physician
  • Saint Cloud, MN
National Provider Identifier
1750880829
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ALAN LEE TIMS MD LLC
Practice address
2007 Summit Dr
Saint Cloud, MN 56303-1249
Phone
(320) 250-3571
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Authorized official

Name
Alan Lee Tims, MD
Title
President
Phone
(320) 250-3571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

2007 Summit Dr
Saint Cloud, MN 56303-1249

Mailing address

2007 Summit Dr
Saint Cloud, MN 56303-1249
Phone (320) 250-3571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1750880829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 SUMMIT DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031249",
            "telephone_number": "320-250-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 SUMMIT DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031249",
            "telephone_number": "320-250-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN LEE TIMS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "TIMS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-250-3571",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.