Provider Demographics
NPI:1447220348
Name:ROP, TIMOTHY JON (MD)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:JON
Last Name:ROP
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:PO BOX 2168
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-2168
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:12230 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-1845
Practice Address - Country:US
Practice Address - Phone:864-472-2144
Practice Address - Fax:864-472-4696
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC202612Medicaid
SC98356OtherMEDCOST
SC7320218OtherAETNA
SC7320218OtherAETNA
SC98356OtherMEDCOST
SC080192801Medicare PIN
SC202612Medicaid