Timothy Webster Sr.

Primary specialty

DriverTaxonomy code 172A00000X

License

W123816723630 Issued in FL

Practice address

1465 Shadow Creek Dr
Orange Park, FL 32065-2514

Phone

(904) 444-4784

NPI assigned

Aug 10, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1770193203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 SHADOW CREEK DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652514",
            "telephone_number": "904-444-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 SHADOW CREEK DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652514",
            "telephone_number": "904-444-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "TIMOTHY",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "W123816723630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ambulatorymedicaltransport.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1465 Shadow Creek Dr",
            "city": "Orange Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320652514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Toshiba Watson, MD
• Lonnie D Watts, RN
• Mark Waybright, ATC
• Gerald Kent Weaver, D.M.D.
• Marie M Weber, NP, PMHNP
• Wecare Group
• Martin Paul Wegman, MD,PHD
• Daniel Aaron Weinberg, MD
• Rebecca Anne Weir, PTA
• Allen M Weiss, MPT,ATC/L

• Driver in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.