TIMOTHY J MAHONEY


Address: 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413
Phone: 7012802033

TIMOTHY J MAHONEY (NPI# 1689608192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689608192
Entity Type Individual
Full Name TIMOTHY J MAHONEY
Credential MD
Practice Address 1707 Gold Dr S Ste 101
Fargo
ND 58103-6413
Practice Telephone 7012802033
Practice Fax Number 7012325578
Mailing Telephone 7012802033
Mailing Fax Number 7012325578
Enumeration Date 2006-07-10
Last Update Date 2014-09-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 24007 MN Allopathic & Osteopathic Physicians
Y 208600000X Surgery 3622 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND AMERICA'S PPO/ARAZ # 844548 01
ND UCARE # 120231 01
ND MEDICA # 1700509 01
ND MEDICA # 1700559 01
ND PREFERRED ONE # DA9011008232 01
ND 13390 05
ND NDBS # 20698 01
ND NDBS # 2164 01
ND SIOUX VALLEY # 6508 01
ND LHS # ND20017469 01

Other Providers TIMOTHY MAHONEY

NPI Name Taxonomy Address Enumeration
1215337159 Timothy Mahoney Physical Therapist 1885 State Hwy. 57, Suite 5, Hackettstown, NJ 07840 2014-08-28
1548829732 Timothy Mahoney Physical Therapist 1333 Meadowlark Ln Ste 104, Kansas City, KS 66102-1200 2019-06-11
1871048652 Timothy Mahoney Registered Nurse 609 Northshore Dr, Bellingham, WA 98226-4414 2016-08-22
1659536837 Timothy Peter Mahoney Dentist 936 Delaware Ave, Suite 405, Buffalo, NY 14209-1880 2008-07-27
1235303751 Timothy Hugh Mahoney Internal Medicine 100 Madison Ave, Box 5, Morristown, NJ 07960-6136 2008-04-16
1568562239 Timothy Michael Mahoney Internal Medicine 2400 Lancaster Dr Ne, Salem, OR 97305-1221 2006-09-23
1548377294 Timothy Michael Mahoney Radiology 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-0001 2006-08-25
1003850512 Timothy Mahoney Social Worker 426 West Ave, Red Wing, MN 55066-2473 2006-06-15

Office Location

Street Address 1707 GOLD DR S STE 101
City FARGO
State ND
Zip Code 58103-6413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912490830 Karissa M Emerson Nurse Practitioner 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2018-06-14
1548516032 Ronovan Lavaine Ottenbacher Internal Medicine 1707 Gold Dr S Ste 101, 1707 Gold Dr S 101, Fargo, ND 58103-6413 2012-08-02
1205070943 David Paul Baumgardner Internal Medicine 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2009-04-24
1790921252 Mykell M Barnacle Nurse Practitioner 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2009-01-05
1528221769 Dacia C Engberg Physician Assistant 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2008-07-08
1619157302 Lindsay R Vettleson Dietitian, Registered 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2007-11-09
1730230616 Kristina G Bjerke Dietitian, Registered 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2007-01-16
1194742668 Bhanu Odedra-mistry Internal Medicine 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 2006-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
Find all providers in zip 58103

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811131527 Daphne Watkins Denham Surgery 4487 Calico Dr S Unit B, Fargo, ND 58104-9040 2009-04-24
1023040219 Jerome I Thompson Surgery 737 Broadway N, Fargo, ND 58122-0001 2006-07-07
1972097756 Jackson Rucker Staggers Surgery 5225 23rd Ave S, Fargo, ND 58104 2018-06-15
1013295260 Zachary Joseph Ernst Surgery 3000 32nd Ave S, Fargo, ND 58103-6132 2011-07-21
1457650632 Megan Bowen Surgery 5225 23rd Ave S, Fargo, ND 58104-7927 2011-03-27
1487972972 Sugong Chen Surgery 1717 University Dr S, Fargo, ND 58103-4939 2010-05-10
1720217425 Kayla Jo Burchill Surgery 3000 32nd Ave S, Fargo, ND 58103-6132 2009-07-02
1225264104 Jeena Easow Surgery 5225 23rd Ave S, Fargo, ND 58104-7927 2009-06-05
1851553325 Jay Martin Macgregor Surgery 801 Broadway N, Fargo, ND 58102-3641 2008-06-26
1194987669 Corey John Kroetsch Surgery 801 Broadway N, Fargo, ND 58102-3641 2008-06-26
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58103

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Dataset Information

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.

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