TIMOTHY JAY HORROCKS (NPI# 1770018087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770018087 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAY HORROCKS |
| Practice Address |
527 2nd St Woodland WA 98674-8486 |
| Mailing Address |
2221 California Ave Apt A Saint Louis MO 63104-2234 |
| Practice Telephone | 3602258911 |
| Practice Fax Number | 3602258527 |
| Mailing Telephone | 4357644261 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD61061975 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E 33rd St Ste 100, Vancouver, WA 986632776 | 3605147550 | |
| 1615 Delaware St, Longview, WA 986322367 | 3604142385 | 3604142386 |
| 1718 E Kessler Blvd, Longview, WA 986321842 | 3607475800 | 3605753846 |
| Street Address |
527 2ND ST |
| City | WOODLAND |
| State | WA |
| Zip Code | 98674-8486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841306156 | Ellis W Johnson | Internal Medicine | 527 2nd St, Woodland, WA 98674-8486 | 2006-08-21 |
| 1972061513 | Philip Joseph Ross II | Physician Assistant | 527 2nd St, Woodland, WA 98674-8486 | 2019-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328409 | Susan E Van Skike | Social Worker | 38503 Nw Goose Hill Avenue, Woodland, WA 98674 | 2019-10-25 |
| 1336599323 | Erin Hutchinson | Counselor | 1251 Lewis River Road, Ste. A, Woodland, WA 98674 | 2016-06-21 |
| 1972977577 | Kelsey Ann Miller | Speech-Language Pathologist | 800 Second Street Wsd Special Service, Woodland, WA 98674 | 2015-11-19 |
| 1598194482 | Elizabeth Grendahl | Massage Therapist | 1227-h North Goerig, Woodland, WA 98674 | 2013-11-01 |
| 1417258674 | Safeway Pharmacy | Pharmacy | Safeway 1725 Pacific Avenue, Woodland, WA 98674 | 2010-11-04 |
| 1538370267 | Tiffany Marie Rose | Massage Therapist | 38803 Ne 2nd Ave, Lacenter, WA 98674 | 2007-05-24 |
| 1417161555 | Jack L Vandyke | Dentist | 640 Georig St, Woodland, WA 98674 | 2007-05-09 |
| 1619934007 | Pearson Medical Clinic Pllc | Internal Medicine | 527 2nd Street, Woodland, WA 98674 | 2006-04-28 |
| 1083914733 | Wal-mart Stores Inc | Technician/Technologist | 1486 Dike Access Rd, Woodland, VA 98674 | 2010-10-28 |
| 1710018213 | Tammy Wallace | Specialist | 1227 Goerig Rd, Ste H, Woodland, WA 98674 | 2007-03-08 |
| Find all providers in zip 98674 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750454807 | John H Stanley | Family Medicine | 105 Spruce Street, Drawer B, Woodland, NC 27897-0447 | 2006-11-16 |
| 1922187574 | Jason Auriemma | Family Medicine | 8 N Cottonwood St, Woodland, CA 95695-2585 | 2006-11-03 |
| 1083729206 | Molina Medical Centers | Family Medicine | 3 Court St, Woodland, CA 95695-3111 | 2006-08-20 |
| 1306875125 | Rita B Quade | Family Medicine | 175 W Court St, Woodland, CA 95695-2913 | 2006-07-02 |
| 1922035963 | Saba Hussain | Family Medicine | 632 W Gibson Road, Woodland, CA 95695 | 2006-06-26 |
| 1831180975 | Karen T Hopp | Family Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2005-10-28 |
| 1538162318 | Gregory Levon Hopkins | Family Medicine | 76 County Road 64, Suite 3, Woodland, AL 36280 | 2005-05-24 |
| 1821574625 | Editha C Setiawan | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-07-14 |
| 1073046124 | Adriana Santana | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-04-05 |
| 1639550122 | My Dungthi Pham | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2015-06-10 |
| Find all providers in WOODLAND | ||||
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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.