Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy James Knittle II

Individual provider General Practice Physician · NPI 1760113831

Timothy James Knittle II is a General Practice in Jackson, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2022

Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 5315248565 (MI)

Record details

NPI number1760113831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2022
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jackson