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NPI Code Detail

MEDICARE: DR. TIMOTHY PIEARSON D.O.

MEDICARE: DR. TIMOTHY PIEARSON D.O.
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
1207Q00000XFamily Medicine Physician3543IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
237448OTHERIABLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1740233659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY PIEARSON D.O.
Provider Business Mailing Address
First Line : 609 SE KENT ST
Second Line :
City : GREENFIELD
State : IA
Zip : 50849-9454
Country : US
Telephone Number : 641-743-2123
Fax Number : 641-743-7294
Provider Business Practice Location Address
First Line : 609 SE KENT ST
Second Line :
City : GREENFIELD
State : IA
Zip : 50849-9454
Country : US
Telephone Number : 641-743-6189
Fax Number : 641-743-6217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 11/17/2022

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