| NPI | 1295731602 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-06-22 |
| Last Updated | 2019-05-13 |
| Mailing Address | 201 Park St Bowling Green, KY 42101-1759 United States Phone: (270) 781-5111 📍 View Map |
| Primary Practice Address | 484 Golden Autumn Way Ste 201 Bowling Green, KY 42103 United States Phone: (270) 783-3340 | Fax: (270) 780-0492 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | KY | 64262645 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | KY | 26264 |
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About NPI 1295731602
Timothy Wierson M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295731602. The primary specialty listed is Surgery. The provider is located in Bowling Green, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-06-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295731602?
NPI 1295731602 belongs to Timothy Wierson M.D., a Surgery in Bowling Green, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295731602 active?
The current status of NPI 1295731602 in the NPPES registry is Active. The record was last updated on 2019-05-13.
What specialty is NPI 1295731602?
NPI 1295731602 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1295731602?
You can verify NPI 1295731602 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1295731602?
The primary practice address on file for NPI 1295731602 is 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295731602 issued?
NPI 1295731602 was first issued (enumerated) on 2005-06-22. The NPPES record was last updated on 2019-05-13.
Practice Location Map
Timothy Wierson is located at 484 Golden Autumn Way Ste 201, Bowling Green, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Timothy Wierson. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1295731602. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | 26264 | KY |