TIMOTHY A. SANBORN M.D. – NPI #1073600987
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

TIMOTHY SANBORN is a physician located in KENOSHA, WI. NPPES has assigned the NPI number 1073600987 to TIMOTHY SANBORN on October 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 8 years ago on Jul 25, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY SANBORN below.

NPI Profile for
TIMOTHY A. SANBORN

NPI Number
1073600987
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY A. SANBORN
Credentials
M.D.
Primary location
6308 8TH AVE
KENOSHA, WI 53143
Phone: (262) 653-3650 Fax: (262) 656-3672
3 Other location(s):
2050 Pfingsten Rd
Suite 360
Glenview, IL 60026-1324
Phone: (847) 657-1819
Fax: (847) 657-1898
7901 S 6th St
Oak Creek, WI 53154-2010
Phone: (414) 346-8000
Fax: (414) 346-8010
9555 76th St
Pleasant Prairie, WI 53158-1984
Phone: (262) 656-3650
Fax: (262) 656-3672
Mailing address
7901 S 6TH ST
OAK CREEK, WI 53154-2010
Phone: (414) 346-8000 Fax: (414) 346-8010
Sole Proprietor
No
Updated
Identifiers

Identifiers for TIMOTHY SANBORN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI1073600987
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
IL 036102493

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL - Graduated 1977
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.