Provider Type Icon

TIMOTHY D LIGHT MD NPI 1295726560


NPI Information

NPI: 1295726560
Provider Name: TIMOTHY D LIGHT, MD
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

PECOS Registration: Yes

Address:
510 E BLOOMINGTON ST
IOWA CITY, IA
ZIP 52245
Phone: (319) 338-9247
Get Directions

Timothy D Light, MD is a trauma surgery surgery in Iowa City, IA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Timothy D Light, MD NPI is 1295726560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

510 E BLOOMINGTON ST
IOWA CITY, IA
ZIP 52245-803
Phone: (319) 338-9247
Fax: (319) 338-2785

The NPI 1295726560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 4/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareMD33292DISTRICT OF COLUMBIANo
22086S0102XSurgerySurgical Critical Care36893IOWANo
32086S0127XSurgeryTrauma Surgery36893IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014708W15MEDICARE ID-TYPE UNSPECIFIED
20743179MEDICAIDIOWA
3I18631MEDICARE PINIOWA
427811OTHERIOWAWELLMARK BCBS
5I08610MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.