Individual
MR. TIMOTHY J ZIOLKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNOR WAY, LOUISVILLE, KY 40202
(502) 361-9900
(502) 361-9947
Mailing address
5454 NEW CUT RD, STE 5, LOUISVILLE, KY 40214
(502) 361-9900
(502) 361-9947
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39137
KY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
27164
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057678
ANTHEM
KY
05
—
200818370
—
IN
01
—
2711345000
PASSPORT ADVANTAGE
KY
01
—
50010463
PASSPORT
KY
01
—
610893149
HUMANA
KY
01
—
610893149001
TRICARE
KY
05
—
64104565
—
KY
01
—
P00320032
RAILROAD MEDICARE
KY
Enumeration date
06/08/2006
Last updated
07/24/2017
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