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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164163 NPPES
Oklahoma MEDICAID 100187150B
Oklahoma Other P00196981

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