Mayfield, Timothy P

Mayfield, Timothy P is an individual health care provider with primary practice located at 5901 Westown Pkwy Ste 110 , West Des Moines IA 50266-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mayfield, Timothy P can be contacted via phone (515) 225-7001.

Contact Information

Primary practice address
5901 Westown Pkwy Ste 110 West Des Moines IA 50266-8207
Phone: (515) 225-7001
Fax: (515) 440-1953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0434355 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X T2005016637 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 39766 Iowa

Profile Details

NPI number 1811094089
LBN Legal business name Mayfield, Timothy P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 10th, 2022 - about 3 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 1811094089 NPPES
Iowa MEDICAID 1811094089

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