J. Timothy Ames, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

J. TIMOTHY AMES, MD PC

Practice address

751 E Porter Ave Ste 5
Chesterton, IN 46304-9111

Phone

(219) 767-4858

Fax

(219) 413-9682

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jay Timothy Ames, MD

Title

Owner

Phone

(219) 767-4858

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1811550601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 5",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-767-4858",
            "fax_number": "219-413-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E PORTER AVE STE 5",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049111",
            "telephone_number": "219-767-4858",
            "fax_number": "219-413-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. TIMOTHY AMES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-767-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200057750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.