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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 003688100 | 05 | |
ID | REGENCE | 00001000102 | 01 |
WA | 8177388 | 05 | |
ID | BLUE CROSS OF IDAHO | DA673 | 01 |
Street Address |
320 WARNER DR |
City | LEWISTON |
State | ID |
Zip Code | 83501 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 83501 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
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. |
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 |
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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.