TIMOTHY KYLE HARDAWAY MD
NPI 1346989431
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since May 27, 2022PECOS Enrolled
1919 S WHEELING AVE STE 600, TULSA, OK 74104(918) 634-7500 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Kyle Hardaway Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY KYLE HARDAWAY MD (NPI 1346989431) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346989431
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY KYLE HARDAWAYCredential: MD
Location Address1919 S WHEELING AVE STE 600Tulsa, OK 74104-5635
Mailing Address1919 S Wheeling Ave Ste 600Tulsa, OK 74104-5635 · (918) 634-7500
Sole ProprietorNo
Enumeration DateMay 27, 2022
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
NPI 1346989431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1919 S WHEELING AVE STE 600, Tulsa, OK 74104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy Kyle Hardaway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Surgery (Surgical Oncology)
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Surgery
1919 S WHEELING AVE STE 600, OU PHYSICIANS TULSA SURGICAL SPECIALIST
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Student in an Organized Health Care Education/Training Program
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Surgery (Vascular Surgery)
1919 S WHEELING AVE STE 600
TULSA, OK 74104
Plastic Surgery
1919 S WHEELING AVE STE 600
TULSA, OK 74104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Hardaway's NPI number?

The NPI number for Timothy Hardaway is 1346989431. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Timothy Hardaway located?

Timothy Hardaway practices at 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104. The listed phone number is (918) 634-7500.

What is Timothy Hardaway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Hardaway enrolled in Medicare?

Yes. Timothy Hardaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Hardaway was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.