Timothy J Williams
Adult Reconstructive Orthopaedic Surgeon
1199 Hadley Rd
Mooresville
, Indiana 46158-1788
Timothy J Williams
Adult Reconstructive Orthopaedic Surgeon
1199 Hadley Rd
Mooresville
, Indiana 46158-1788
(317) 865-1479
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Timothy J Williams
- Po Box 781076
- Detroit, MI
- Zip : 48278-1078
- Fax : (317) 865-1479
- Phone : (317) 528-4800
Second Address
- Timothy J Williams
- 1199 Hadley Rd
- Mooresville, IN
- Zip : 46158-1788
- Fax : (317) 831-9347
- Phone : (317) 831-2273
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 01062366A | IN |
National Provider Identifier
| NPI | 1336101062 |
|---|---|
| Provider Name | Timothy J Williams |
| First Address | Detroit, MI 48278-1078 |
| Second Address | Mooresville, IN 46158-1788 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200847410 | (05) | IN |
| I12373 | (02) |
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.