Timoteo R Gabriel, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C1-0002149 Issued in DE

Practice address

1941 Limestone Rd
Suite 210
Wilmington, DE 19808-5400

Phone

(302) 998-0300

NPI assigned

Aug 20, 2006

Last updated

Jun 19, 2017By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1972618817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LIMESTONE RD",
            "address_2": "STE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085500",
            "telephone_number": "302-998-0300",
            "fax_number": "302-998-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "SUITE 210",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085400",
            "telephone_number": "302-998-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "TIMOTEO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DE",
            "license": "C1-0002149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CN 2339",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Otolaryngology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.