Grode, Timothy L
Grode, Timothy L is an individual health care provider with primary practice located at 13313 N Meridian Ave Building D, Oklahoma City OK 73120-8380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Grode, Timothy L can be contacted via phone (405) 755-4290.Contact Information
Primary practice address
13313 N Meridian Ave Building D
Oklahoma City OK 73120-8380
Phone: (405) 755-4290
Fax: (405) 755-7773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 12230 | Oklahoma |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 12230 | Oklahoma |
Profile Details
| NPI number | 1639164163 |
|---|---|
| LBN Legal business name | Grode, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Nov 17th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639164163 | NPPES |
| Oklahoma | MEDICAID | 100187150B | |
| Oklahoma | Other | P00196981 |
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