DR. TIMOTHY JOSEPH FLOCK


Address: 320 Warner Dr, Lewiston, ID 83501
Phone: 2087433523

DR. TIMOTHY JOSEPH FLOCK (NPI# 1760477368) 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) 1760477368
Entity Type Individual
Full Name DR. TIMOTHY JOSEPH FLOCK
Credential MD
Practice Address 320 Warner Dr
Lewiston
ID 83501
Practice Telephone 2087433523
Practice Fax Number 2087468741
Mailing Telephone 2087433523
Mailing Fax Number 2087468741
Enumeration Date 2005-09-20
Last Update Date 2016-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
M6831 ID Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
MD00032793 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 003688100 05
ID REGENCE 00001000102 01
WA 8177388 05
ID BLUE CROSS OF IDAHO DA673 01

Office Location

Street Address 320 WARNER DR
City LEWISTON
State ID
Zip Code 83501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588659866 Steven Randolph Boyea Orthopaedic Surgery 320 Warner Dr, Lewiston, ID 83501-4441 2005-09-13
1912517350 Caleb H Netting Orthopaedic Surgery 320 Warner Dr, Lewiston, ID 83501-4441 2020-07-31
1851871172 Russell L Evans Radiology 320 Warner Dr, Lewiston, ID 83501-4441 2018-08-16
1306343728 Alexis Zander Physician Assistant 320 Warner Dr, Lewiston, ID 83501-4441 2018-04-11
1023545373 Catalyst Medical Group, Pllc Durable Medical Equipment & Medical Supplies 320 Warner Dr, Lewiston, ID 83501 2017-05-17
1750839023 Rychael Morton Physician Assistant 320 Warner Dr, Lewiston, ID 83501-4441 2016-09-15
1679941553 Kaden J Thueson Physician Assistant 320 Warner Dr, Lewiston, ID 83501-4441 2015-09-09
1265674071 Dewayne Lynn Weaver Orthopaedic Surgery 320 Warner Dr, Lewiston, ID 83501-4441 2009-03-26
1083770192 Gregory Robert Obray Physician Assistant 320 Warner Dr, Lewiston Orthopaedics, Lewiston, ID 83501 2006-12-31
1215095252 Lewiston Orthopaedic Associates Pa Clinic/Center 320 Warner Dr, Lewiston, ID 83501-4441 2006-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598107815 Travis Jay Kemp Md Inc Orthopaedic Surgery 7979 W Rifleman St, Boise, ID 83704-9066 2013-07-28
1285990374 Bryan Vandyke Orthopaedic Surgery 2321 Coronado St, Idaho Falls, ID 83404-7407 2012-04-03
1669607172 Travis Jay Kemp Orthopaedic Surgery 7979 W Rifleman St, Boise, ID 83704-9066 2009-05-28
1508922303 Michael J Coughlin, Md, Pa Orthopaedic Surgery 901 N Curtis Rd, Suite 503, Boise, ID 83706-1338 2006-12-28
1992716872 Steven E Roser Orthopaedic Surgery 600 N Robbins Rd, Ste 100, Boise, ID 83702-4566 2006-08-10
1255364030 Weiser Valley Hospital District Orthopaedic Surgery 645 E. 5th St., Weiser, ID 83672 2006-07-07

Competitor

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City LEWISTON
Zip Code 83501

Improve Information

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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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