Timothy Christopher Colgrove, COF

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1 PJS PL
Hendersonville, NC 28792-7204

Phone

(828) 651-4992

Fax

(828) 651-4993

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By 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)

Not enrolled

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1982908067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FAIRMONT RD",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159010",
            "telephone_number": "828-651-4992",
            "fax_number": "828-651-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PJS PL",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927204",
            "telephone_number": "828-651-4992",
            "fax_number": "828-651-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGROVE",
        "first_name": "TIMOTHY",
        "middle_name": "CHRISTOPHER",
        "credential": "COF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COF",
            "identifier": "CFO03553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.