Individual provider Active NPI

Timothy L Jameson, DO

  • Family Medicine Physician
  • Blandon, PA
National Provider Identifier
1811955487
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS005597L Issued in PA
Practice address
8500 Allentown Pike
Suite 1
Blandon, PA 19510-9460
Phone
(610) 926-3669
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS005597L PA Primary

Addresses

Primary practice location

8500 Allentown Pike
Suite 1
Blandon, PA 19510-9460

Mailing address

8500 Allentown Pike
Suite 1
Blandon, PA 19510
Phone (610) 926-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000212 PA Practitioner - Family Practice 9537351317 Practice locations: Blandon, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1811955487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 ALLENTOWN PIKE",
            "address_2": "SUITE 1",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "19510",
            "telephone_number": "610-926-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 ALLENTOWN PIKE",
            "address_2": "SUITE 1",
            "city": "BLANDON",
            "state": "PA",
            "postal_code": "195109460",
            "telephone_number": "610-926-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005597L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blandon, PA

Sources for this page

Verify at the official NPI Registry.