Individual
TIMOTHY S. MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35123583
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-123583
OH
208M00000X
Hospitalist Physician
Primary
35.123583
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162594
—
OH
Enumeration date
04/09/2012
Last updated
04/13/2026
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