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NPI Code Detail

MEDICARE: DR. TIMOTHY P DOYLE MD

MEDICARE:  DR. TIMOTHY P DOYLE  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
1207RC0000XCardiovascular Disease Physician35-045614OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000130211OTHEROHANTHEM
218958OTHEROHQUALCHOICE
3341313510TDOTHEROHSUMMACARE
4060027313OTHEROHRAILROAD MED B
52597481OTHEROHUNITED HEALTHCARE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7264168OTHEROHFEDERAL BLACK LUNG
84007184OTHEROHAETNA

General Provider Information

NPI Number : 1861451403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY P DOYLE MD
Provider Business Mailing Address
First Line : 7590 AUBURN ROAD, SUITE 014
Second Line : ATTN: MED STAF
City : CONCORD TWP
State : OH
Zip : 44077-9176
Country : US
Telephone Number : 440-354-1899
Fax Number : 440-354-1845
Provider Business Practice Location Address
First Line : 36100 EUCLID AVE
Second Line : SUITE 120
City : WILLOUGHBY
State : OH
Zip : 44094-4456
Country : US
Telephone Number : 440-951-8360
Fax Number : 440-951-9408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 03/03/2021

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Directions to “ DR. TIMOTHY P DOYLE MD” Practice Location

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