TIMOTHY CASPERSON (NPI# 1881857951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881857951 |
| Entity Type | Individual |
| Full Name | TIMOTHY CASPERSON |
| Credential | DPM |
| Practice Address |
100 Medical Center Blvd Suite 216 Conroe TX 77304-2888 |
| Practice Telephone | 9367569191 |
| Practice Fax Number | 9367569197 |
| Mailing Telephone | 9367569191 |
| Mailing Fax Number | 9367569197 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1858 | TX | Podiatric Medicine & Surgery Service Providers |
| Street Address |
100 MEDICAL CENTER BLVD SUITE 216 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813619 | June-chieh Chang | Legal Medicine | 100 Medical Center Blvd, Ste 102, Conroe, TX 77304-2821 | 2005-06-29 |
| 1063870269 | Carrye Boris | Nurse Practitioner | 100 Medical Center Blvd, Ste 200, Conroe, TX 77304-2888 | 2016-02-02 |
| 1184046070 | Saulette Queen, Md, Pllc | Internal Medicine | 100 Medical Center Blvd, Ste. 200, Conroe, TX 77304-2888 | 2014-01-10 |
| 1114275500 | Natallia Echeandia | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2012-08-16 |
| 1437405875 | Wesley T. Myers, Md Pa | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304 | 2012-08-02 |
| 1356589956 | Preeti Desai | Internal Medicine | 100 Medical Center Blvd, Suite 200, Conroe, TX 77304-2888 | 2009-02-04 |
| 1174769921 | Christopher Wong Md Pa | Internal Medicine | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2008-12-29 |
| 1154571883 | Dimitrios Mantzoros | Durable Medical Equipment & Medical Supplies | 100 Medical Center Blvd, Ste 216, Conroe, TX 77304-2888 | 2008-09-30 |
| 1962674804 | Yousuf Ahmed,md Pa | Pediatrics | 100 Medical Center Blvd, Suite 110, Conroe, TX 77304-2888 | 2008-04-01 |
| 1245429158 | John A Adiet | Family Medicine | 100 Medical Center Blvd, Ste 104, Conroe, TX 77304-2821 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518185719 | Gurpreet K Mukker | Podiatrist | 100 Medical Center Blvd, Ste 216, Conroe, TX 77304-2888 | 2007-04-23 |
| 1083702922 | William Eric Pack | Podiatrist | 690 S Loop 336 West, Suite 150, Conroe, TX 77304-3319 | 2006-10-10 |
| 1285660803 | Dimitrios Spiros Mantzoros | Podiatrist | 100 Medical Center Blvd, Ste 216, Conroe, TX 77304-2888 | 2006-06-24 |
| 1629046669 | David S Jenson | Podiatrist | 111 Vision Park Blvd, Suite 240, Conroe, TX 77384-3002 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| 1851924500 | Interventional Partners LLC | Podiatrist | 4708 Alliance Blvd Ste 475, Plano, TX 75093-5351 | 2020-02-20 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1366091704 | Carrollton Podiatrist Pllc | Podiatrist | 3730 N Josey Ln Ste 120, Carrollton, TX 75007-2439 | 2019-09-09 |
| 1760030571 | Right Step Foot Clinic and Ankle Clinic, LLC | Podiatrist | 11507 S Highway 6 Ste C, Sugar Land, TX 77498-4933 | 2019-08-27 |
| 1225684392 | Podiatry Usa Corporation | Podiatrist | 2300 Sherbrooke Ln, Mckinney, TX 75070-4769 | 2019-08-14 |
| 1508422395 | Interventional Partners | Podiatrist | 3200 Olton Rd Ste C, Plainview, TX 79072-6653 | 2019-05-16 |
| 1194380097 | Interventional Partners LLC | Podiatrist | 5575 Warren Pkwy Ste 101, Frisco, TX 75034-4066 | 2019-05-06 |
| 1548825839 | Interventional Partners LLC | Podiatrist | 2150 N Josey Ln # 200b, Carrollton, TX 75006-2991 | 2019-05-02 |
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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.