Dr. Timothy Gammons
Family Doctor Family Doctor - Addiction Medicine
4845 E 14 Mile Rd
Sterling Heights
, Michigan 48310-6442
Dr. Timothy Gammons
Family Doctor Family Doctor - Addiction Medicine
4845 E 14 Mile Rd
Sterling Heights
, Michigan 48310-6442
(586) 977-0391
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Timothy Gammons
- 4845 E 14 Mile Rd
- Sterling Heights, MI
- Zip : 48310-6442
- Fax : (586) 977-0391
- Phone : (586) 977-5780
Second Address
- Dr. Timothy Gammons
- 4845 E 14 Mile Rd
- Sterling Heights, MI
- Zip : 48310-6442
- Fax : (586) 977-0391
- Phone : (586) 977-5780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 5101013821 | MI |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 5101013821 | MI |
National Provider Identifier
| NPI | 1730163023 |
|---|---|
| Provider Name | Dr. Timothy Gammons |
| First Address | Sterling Heights, MI 48310-6442 |
| Second Address | Sterling Heights, MI 48310-6442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/12/2005 |
| Last Update Date | 26/02/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 133449 | CARE-PREFERRED CHOICES (01) | MI |
| 1730163023 | (05) | MI |
| 700H217350 | BLUE SHIELD (01) | MI |
| H53730 | (02) | MI |
| H53730 | HAP (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.