Timothy Patrick Phelan
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2940 N Mccord Rd
Toledo
, Ohio 43615
Timothy Patrick Phelan
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
2940 N Mccord Rd
Toledo
, Ohio 43615
(419) 291-9883
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Timothy Patrick Phelan
- 2940 N Mccord Rd
- Toledo, OH
- Zip : 43615-1753
- Fax : (419) 291-9883
- Phone : (419) 842-3000
Second Address
- Timothy Patrick Phelan
- 2940 N Mccord Rd
- Toledo, OH
- Zip : 43615
- Fax : (419) 291-9883
- Phone : (419) 842-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 35130966 | OH |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35130966 | OH |
National Provider Identifier
| NPI | 1134388473 |
|---|---|
| Provider Name | Timothy Patrick Phelan |
| First Address | Toledo, OH 43615-1753 |
| Second Address | Toledo, OH 43615 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2008 |
| Last Update Date | 18/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 220637Y3W | (02) | MD |
| 221109200 | (05) | MD |
| 974410-01 | CAREFIRST BC/BS (01) | MD |
| S062-0430 | CAREFIRST BC/BS - REGIONAL (01) | MD |
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.