TIMOTHY LINCOLN TRUSCHEL (NPI# 1164541439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164541439 |
Entity Type | Individual |
Full Name | TIMOTHY LINCOLN TRUSCHEL |
Credential | M.D. |
Practice Address |
1245 Edgewater St Nw Salem OR 97304-4049 |
Practice Telephone | 5035885816 |
Practice Fax Number | 5035885803 |
Mailing Telephone | 5035885816 |
Mailing Fax Number | 5035885803 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
00023577 | WA | Allopathic & Osteopathic Physicians |
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD25888 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | FEDERAL TAX ID | 20-8417623 | 01 |
WA | UNIFIED BUSINESS ID | 602-688-517 | 01 |
Street Address |
1245 EDGEWATER ST NW |
City | SALEM |
State | OR |
Zip Code | 97304-4049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609957356 | Susan Barnes | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2006-10-18 |
1225671910 | Summer Joy Valentine | Student in an Organized Health Care Education/Training Program | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-24 |
1346895075 | Anne Elizabeth Wagner | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2019-08-08 |
1992273718 | Marc R Malone | Psychologist | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-11-09 |
1043704554 | Erin Melissa Cox | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2018-06-18 |
1386167732 | Julie Marie O'connor | Social Worker | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2017-07-18 |
1366892408 | Miranda Featherstone | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2016-06-20 |
1518334028 | Ryan Matthew Gunter | Physician Assistant | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-09-01 |
1073903977 | Gerardo Jimenez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
1265822167 | Ivan Gutierrez | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2015-01-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881893071 | Mamta Sapra | Psychiatry & Neurology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-07-17 |
1134260367 | Michael Ransley Miller | Psychiatry & Neurology | 1127 Oak St Se, Salem Psychiatric Facility, Salem, OR 97301-4020 | 2007-02-09 |
1902900137 | Vimal Mohun Aga | Psychiatry & Neurology | 2600 Center St Ne, Salem, OR 97301 | 2006-09-08 |
1073577888 | Brian Edwin Wood | Psychiatry & Neurology | 1902 Braeburn Dr Ste 130, Salem, VA 24153-7304 | 2006-04-17 |
1548224868 | Kye Y Kim | Psychiatry & Neurology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760674071 | Geriatric Psychiatry Associates Northwest, P.C. | Psychiatry & Neurology | 1231 Ne Mlk Jr Blvd, #611, Portland, OR 97232-2073 | 2007-08-10 |
1669608402 | Julie Anne Cohn | Psychiatry & Neurology | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2009-06-08 |
1609967082 | Michael Steven Rappaport | Psychiatry & Neurology | 998 Library Ct, Oregon City, OR 97045-4041 | 2006-09-28 |
1356459978 | Sahana Misra | Psychiatry & Neurology | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-08-25 |
1023121860 | Linda Ganzini | Psychiatry & Neurology | 3710 Sw Us Veterans Hospital Rd, Mental Health Division, P3mhdc, Portland, OR 97239-2964 | 2006-08-16 |
1366450801 | Kevin Ray Smith | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd, Up, Portland, OR 97239-3011 | 2006-08-03 |
1003842832 | David Morrison Douglas | Psychiatry & Neurology | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-06-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.