Timothy S. Church, MD, MPH, PHD

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

MD.12793R Issued in LA

Practice address

6400 Perkins Rd
Baton Rouge, LA 70808-4124

Phone

(225) 763-2632

Fax

(225) 763-3014

NPI assigned

Jan 9, 2009

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1770720955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084124",
            "telephone_number": "225-763-2632",
            "fax_number": "225-763-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084124",
            "telephone_number": "225-763-2632",
            "fax_number": "225-763-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "TIMOTHY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "LA",
            "license": "MD.12793R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA BOARD OF PHARMACY",
            "identifier": "33934",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CONTROLLED SUBSTANCE/REGULATED CHEMICAL LICENSE",
            "identifier": "BC6148503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Lynn Christopher
• Shirley Ann Christopher, SPEECH PATHOLOGIST
• Jessica T. Chu, MD
• Kelvin Johnston Go Chua, NP
• Selena Church, CSW
• Kayla McKenzie Chustz-Duplessis
• Hannah Chustz, OD
• Jamie F Chustz, CRNA
• Payton Elisabeth Chustz
• Brian Louis Cicero, CRNA

• Research Study Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Research Study Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.