Provider Demographics
NPI:1215937537
Name:HARTON, TIMOTHY SCOTT (MD)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:SCOTT
Last Name:HARTON
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 10
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72718
Mailing Address - Country:US
Mailing Address - Phone:479-360-9993
Mailing Address - Fax:952-442-3620
Practice Address - Street 1:94 MAIN ST.
Practice Address - Street 2:
Practice Address - City:CASSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65625
Practice Address - Country:US
Practice Address - Phone:417-847-6000
Practice Address - Fax:870-226-6554
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3166207Q00000X
ARE-3166207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146289001Medicaid
AR5M177OtherBLUE CROSS OF AR
AR146289001Medicaid