Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD039484E | PA |
N | 207P00000X | Emergency Physician | MD039484E | PA |
Y | 208200000X | Surgeon | MD039484E | PA |
Y | 208600000X | Surgeon | MD039484E | PA |
N | 2086S0120X | Pediatric Surgery | MD039484E | PA |
N | 2086S0129X | Vascular Surgeon | MD039484E | PA |
N | 208C00000X | Colorectal Surgeon | MD039484E | PA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD039484E | PA |
NPI | 1275643843 |
---|---|
Provider Name | Dr. Timothy R Mckee |
First Address | Gettysburg, PA 17325-2500 |
Second Address | Gettysburg, PA 17325-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 27/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001482174 | (05) | PA |
1522431 | GATEWAY-WMG (01) | PA |
20072214 | AMERIHEALTH MERCY-WMG (01) | PA |
211141 | JOHNS HOPKINS (01) | PA |
34786 | GEISINGER HEALTH PLAN (01) | PA |
4538582 | AETNA (01) | PA |
50075820 | CAPITAL BLUE CROSS WMG (01) | PA |
604223 | HIGHMARK (01) | PA |
E42748 | (02) |