Provider Demographics
NPI:1417955428
Name:LINKER, TIMOTHY JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JAMES
Last Name:LINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 CHERRY HILL LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8325
Mailing Address - Country:US
Mailing Address - Phone:513-228-0203
Mailing Address - Fax:
Practice Address - Street 1:6860 TYLERSVILLE RD
Practice Address - Street 2:SUITE 12
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1236
Practice Address - Country:US
Practice Address - Phone:513-701-5510
Practice Address - Fax:513-701-5511
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076907L207QS0010X
OH35076907207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000241822OtherANTHEM ID
OH76907OtherCHOICECARE ID
OH8555353003OtherCIGNA ID
OH562281135OtherTAX ID
OH107915OtherNATIONWIDE HEALTH ID
OH0109653OtherUNITED HEALTHCARE ID
OH562281135026OtherCARESOURCE ID
OH080189281OtherRAILROAD MEDICARE ID
OH21221450265OtherBEECH STREET ID
OH2159800Medicaid
OH21221450265OtherBEECH STREET ID
OHH09969Medicare UPIN
OH000000241822OtherANTHEM ID