Provider Demographics
NPI:1407938400
Name:SINGLETON, TIMOTHY P (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:P
Last Name:SINGLETON
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 1:2525 CHICAGO AVE STE B600
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4518
Mailing Address - Country:US
Mailing Address - Phone:612-813-6280
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVE STE B600
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:612-813-6280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47279207RH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN608R9SIOtherBCBS
MN1042012OtherPREFERRED ONE
MN11-00489OtherMEDICA CHOICE
MN896423800Medicaid
IA0593236Medicaid
MN2230948OtherARAZ
MT0082093Medicaid
WI34583800Medicaid
MN11-00014OtherMEDICA PRIMARY
MN132341OtherUCARE
MNB602OtherCHAMPUS
MNHP47823OtherHEALTH PARTNERS
MT0082093Medicaid
F42758Medicare UPIN
MNHP47823OtherHEALTH PARTNERS