Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356578108 Individual Practitioner Male Practitioner

Tim Charles Desano

Contractor • Gibraltar, MI

Professional Overview & Biography Verified Profile Summary

Tim Desano is a registered healthcare professional specializing in Contractor in Gibraltar, MI. Practice services are available at 30808 ISLAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30808 Island Dr

Gibraltar, MI 481739547

Telephone 7349151270
Fax 7342507377
Associated Practice Facility / Clinic
🏢 Alpha Physicians, Pllc Facility NPI 1023290780

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Gibraltar, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Gibraltar, MI (262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2009

Registered at 30808 ISLAND DR, GIBRALTAR, MI 481739547 (Tel: 7349151270)

📍
Updated Business Mailing Address November 13, 2009

Registered at 30808 ISLAND DR, GIBRALTAR, MI 481739547 (Tel: 7349151270)

👤
Provider Name / Credentials Updated November 13, 2009

Recorded as TIM DESANO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2009

Contractor

🟢
Initial NPI Registration & Enumeration June 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356578108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2009
Last Update: November 13, 2009
Sole Proprietor: No

Mailing Address

30808 Island Dr

Gibraltar, MI 481739547

Phone: 7349151270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.