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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY JAMES VON FANGE, MD

Active

DR. TIMOTHY JAMES VON FANGE, MD is a Sports Medicine healthcare provider located in COLUMBUS, Indiana. NPI 1154461739 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine · COLUMBUS, IN

Registration Details

NPI Number
1154461739
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2007 (19.517008345422 yrs)
Last Updated
Nov 21, 2025
Licenses
01068721A (IN)
036-121122 (IL)
01068721A (IN)
036-121122 (IL)

Practice Information

Address
2400 NORTHPARK DR STE 10
COLUMBUS, IN, 472034467
Browse IN providers · Browse ZIP 47203
Phone
8123760700
Fax
8123768625
Primary Specialty
Sports Medicine
207QS0010X
Additional Specialty
Sports Medicine
Additional Specialty
Sports Medicine
Additional Specialty
Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.