TIMOTHY BEITTEL

Address: 311-4e Judges Rd, Wilmington, NC 28405
Phone: 9107916767

TIMOTHY BEITTEL (NPI# 1669464111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669464111
Entity Type 1 - Individual
Full Name TIMOTHY BEITTEL
Credential MD
Practice Address 311-4e Judges Rd
Wilmington
NC 28405
Mailing Address 311-4e Judges Road
Wilmington
NC 28405-3655
Practice Telephone 9107916767
Practice Fax Number 9107916890
Enumeration Date 08/19/2005
Last Update Date 10/10/2011
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 9900167 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PARTNERS 61741 01
NC 7912033 05
UNITED HEALTHCARE 1915849 01
CIGNA 3211330 01
NC BCBSNC 12033 01

Office Location

Street Address 311-4E JUDGES RD
City WILMINGTON
State NC
Zip Code 28405

Providers with the same location

NPI Name Address
1679572705 DR. WILFREDO SOUFFRONT 311-4e Judges Rd, Wilmington, NC 28405-3655
1346239399 DR. CALVIN GRAHAM 311-4e Judges Rd, Wilmington, NC 28405-3655
1508843012 JENNIFER LEE DUMAS HALL 311-4e Judges Rd, Wilmington, NC 28405
1245219799 ACT MEDICAL GROUP PA 311-4e Judges Rd, Wilmington, NC 28405-3655
1184666000 DR. LAURA J DUNLAP 311-4e Judges Rd, Wilmington, NC 28405-3655
1346271939 DR. RICHARD J CARLSON 311-4e Judges Rd, Wilmington, NC 28405-3655
1487765186 DR. ELIZABETH WOODS OATES 311-4e Judges Rd, Wilmington, NC 28405-3655
1467521054 MRS. LEIGH SHEPHERD RIFFE 311-4e Judges Rd, Wilmington, NC 28405-3655
1982771176 DR. VALENCIA P COVINGTON 311-4e Judges Rd, Wilmington, NC 28405-3655
1154455442 SHEILA J. HONEYCUTT 311-4e Judges Rd, Wilmington, NC 28405-3655

Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.