MR. TIMOTHY ROY CHAFFIN (NPI# 1578603239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578603239 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ROY CHAFFIN |
| Credential | P.O. |
| Practice Address |
3025 10th Ave S Great Falls MT 59405-3444 |
| Practice Telephone | 4064532235 |
| Practice Fax Number | 4067719206 |
| Mailing Telephone | 4064532235 |
| Mailing Fax Number | 4067719206 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0005607485 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497846984 | Timothy A Chaffin | Chiropractor | 193 Blue Ravine Road, #245, Folsom, CA 95630-3519 | 2006-09-27 |
| 1235349861 | Timothy Barrett Chaffin | Nurse Practitioner | 2405 Osler Ct, Albany, GA 31707-0214 | 2007-05-23 |
| Street Address |
3025 10TH AVE S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602716 | Benefis Spectrum Medical, Inc. | Prosthetic/Orthotic Supplier | 1117 29th St S, Great Falls, MT 59405-5306 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860389 | Treasure State Orthotic & Prosthetic Clinic, Inc | Prosthetic/Orthotic Supplier | 436 W Porphyry St, Butte, MT 59701-2312 | 2017-09-22 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| 1558816272 | Michelle Kunnary | Prosthetic/Orthotic Supplier | 1054 Helena Avenue, Helena, MT 59601 | 2016-08-23 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| 1740438696 | Recreate Mastectomy Products & Boutique | Prosthetic/Orthotic Supplier | 116 South Ave W, Missoula, MT 59801-8116 | 2008-09-04 |
| 1811046303 | Glacier Prosthetic Care Inc | Prosthetic/Orthotic Supplier | 985 N Meridian Rd, Kalispell, MT 59901-3539 | 2007-01-10 |
| 1427141324 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1505 S Russell St, Missoula, MT 59801-3629 | 2006-10-02 |
| 1932121829 | Tlc Lingerie Inc | Prosthetic/Orthotic Supplier | 1402 Broadwater Ave, Billings, MT 59102-5324 | 2006-07-23 |
| 1881680577 | Northern Care, Inc. | Prosthetic/Orthotic Supplier | 210 Windward Way, Kalispell, MT 59901-3132 | 2005-09-27 |
| 1952797243 | Momentum Prosthetic Clinic | Prosthetic/Orthotic Supplier | 120 South Ave W, Missoula, MT 59801-8116 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.