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NPI Code Detail

MEDICARE: DR. TIMOTHY G. WEBER MD

MEDICARE: DR. TIMOTHY G. WEBER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician01043810IN
2207XX0801XOrthopaedic Trauma Physician01043810AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255385381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY G. WEBER MD
Provider Business Mailing Address
First Line : 8450 NORTHWEST BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-1381
Country : US
Telephone Number : 317-802-2000
Fax Number : 317-802-2170
Provider Business Practice Location Address
First Line : 8402 HARCOURT RD STE 125
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2094
Country : US
Telephone Number : 317-802-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 05/21/2024

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