DR. TIMOTHY J STODDARD (NPI# 1821212788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212788 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J STODDARD |
| Credential | MD |
| Practice Address |
1450 Aviation Dr Suite 202 Hailey ID 83333-8785 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2087278970 |
| Practice Fax Number | 2087278979 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
M-8916 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1821212788 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306171996 | Timothy Randall Stoddard | Student in an Organized Health Care Education/Training Program | 1175 Clayton St, Apt 5, San Francisco, CA 94117-4438 | 2009-10-15 |
| 1811524283 | Timothy John Stoddard | Student in an Organized Health Care Education/Training Program | 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 | 2020-03-25 |
| Street Address |
1450 AVIATION DR SUITE 202 |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-8785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023073897 | Thomas E Archie Jr. | Acupuncturist | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-04-17 |
| 1134556814 | Gay M Miremont | Social Worker | 1450 Aviation Dr, Ste 202, Hailey, ID 83333-8785 | 2013-09-26 |
| 1639499809 | Jesse Foster | Physical Therapist | 1450 Aviation Dr, Hailey, ID 83333-8785 | 2010-06-10 |
| 1609104363 | Kristin Bevers | Physical Therapist | 1450 Aviation Dr, Suite 201, Hailey, ID 83333-8767 | 2009-11-18 |
| 1366776452 | Matthew Thomas Jaksetic | Specialist/Technologist | 1450 Aviation Dr, 201, Hailey, ID 83333-8785 | 2009-09-23 |
| 1083842272 | Amy C Drumm | Family Medicine | 1450 Aviation Dr, Ste 100, Hailey, ID 83333-8785 | 2009-06-25 |
| 1982620787 | Julie A Lyons | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-07-14 |
| 1003852849 | Cortney A Vandenburgh | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-21 |
| 1164463964 | Lois Adrian | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-10 |
| 1548201932 | Barton Adrian | Pediatrics | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427203231 | Christopher Jonathan Helfer | Psychiatry & Neurology | 703 Americana Blvd., Suite 105, St. Luke's Psychiatric Wellness Services, Boise, ID 83702-0550 | 2008-11-20 |
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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.