# DR. TIMOTHY R FENGLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326138611
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 14325 | SC | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 14325 | SC | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 14325 | SC | — |

## Other

- **Enumeration date:** 10/15/2006
- **Last updated:** 09/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050028870 | RR MEDICARE | SC |
| 01 | — | 143295 | SELECT HEALTH | SC |
| 05 | — | 143295 | — | SC |
| 01 | — | 2001059 | CCP | SC |
| 01 | — | 4130017 | AETNA | SC |
| 01 | — | 77791 | MEDCOST | SC |