TIMOTHY BOUCK (NPI# 1669586152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669586152 |
| Entity Type | Individual |
| Full Name | TIMOTHY BOUCK |
| Credential | MD |
| Practice Address |
1840 Amherst St Winchester VA 22601-2808 |
| Mailing Address |
2531 Goldenfield Ln Winchester VA 22601-6433 |
| Practice Telephone | 5405367087 |
| Mailing Telephone | 8045646036 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101248936 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810019813 | 05 | |
| VA | 1669586152 | 05 |
| Street Address |
1840 AMHERST ST |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962406470 | Geoffrey A Martin | Emergency Medicine | 1840 Amherst St, Winchester, VA 22601-2808 | 2005-06-13 |
| 1467060152 | Bruku Adjei-mensah | Pharmacy | 1840 Amherst St, Winchester, VA 22601-2808 | 2020-07-19 |
| 1760007694 | Gloria L Sugg | Social Worker | 1840 Amherst St, Winchester, VA 22601-2808 | 2020-06-16 |
| 1720613359 | Kip Edward Wharton | Nurse Anesthetist, Certified Registered | 1840 Amherst St, Winchester, VA 22601-2808 | 2020-03-04 |
| 1679123541 | Nader Magdi Girgis | Pharmacist | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-09-12 |
| 1841840725 | Taylor Hoffman Motichka | Registered Nurse | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-09-12 |
| 1679120687 | Deirdra Ann Pearce | Nurse Practitioner | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-08-23 |
| 1346809605 | Krystal Mai Arbogast | Nurse Practitioner | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-06-11 |
| 1306403654 | Allyson Weck Rinker | Nurse Practitioner | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-05-22 |
| 1609338078 | Caroline M Ulich | Physician Assistant | 1840 Amherst St, Winchester, VA 22601-2808 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760802938 | David Piskorowski | Internal Medicine | 155 Hospital Rd Ste C, Winchester, TN 37398-2495 | 2014-04-25 |
| 1679711261 | Winchester Medical Center | Internal Medicine | 1840 Amherst St, Winchester, VA 22601-2808 | 2009-02-04 |
| 1104093863 | Yuhann Kenneth Lim Lopez | Internal Medicine | 1840 Amherst St, Critical Care, Winchester, VA 22601-2808 | 2008-05-13 |
| 1144204066 | Annie Lin Parker | Internal Medicine | 41 Highland Ave, Lahey At Winchester Hospital, Winchester, MA 01890-1446 | 2005-12-05 |
| 1043203318 | T. Glen Bouder | Internal Medicine | 1840 Amherst St, Winchester, VA 22601-2808 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920205 | Katelynn Suzanne Doeppe | Internal Medicine | 1401 Johnstn Wllis Dr, North Chesterfield, VA 23235-4730 | 2020-10-20 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1417459058 | William A. Knaus | Internal Medicine | 1926 Lewis Mountain Rd, Charlottesville, VA 22903-2413 | 2018-02-28 |
| 1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1821474289 | Ravi Jagdish Patel | Internal Medicine | 6380 Homewood Cir, Roanoke, VA 24018-8308 | 2015-08-07 |
| 1538587761 | Gretchen Elder Brayman | Internal Medicine | 4000 Coliseum Dr Ste 320, Hampton, VA 23666-5983 | 2014-04-04 |
| 1235448911 | Anish S. Desai, Md, LLC | Internal Medicine | 8301 Arlington Blvd Ste T5, Fairfax, VA 22031-2904 | 2010-09-29 |
| 1982861795 | Yu Chi C Wang | Internal Medicine | 1625 N George Mason Dr Ste 355, Arlington, VA 22205-3690 | 2008-05-20 |
| 1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
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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.