Timothy S Smith
Vascular Surgeon
1025 Maine St
Quincy
, Illinois 62301-4038
Timothy S Smith
Vascular Surgeon
1025 Maine St
Quincy
, Illinois 62301-4038
(217) 222-6550
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Timothy S Smith
- 1025 Maine St
- Quincy, IL
- Zip : 62301-4038
- Phone : (217) 222-6550
Second Address
- Timothy S Smith
- 1025 Maine St
- Quincy, IL
- Zip : 62301-4038
- Phone : (217) 222-6550
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 036093943 | IL |
National Provider Identifier
| NPI | 1144293929 |
|---|---|
| Provider Name | Timothy S Smith |
| First Address | Quincy, IL 62301-4038 |
| Second Address | Quincy, IL 62301-4038 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 04/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036093943 | (05) | IL |
| F29957 | (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.