TIMOTHY P MILLEA (NPI# 1942288139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942288139 |
| Entity Type | Individual |
| Full Name | TIMOTHY P MILLEA |
| Credential | M.D. |
| Practice Address |
2300 53rd Ave Suite 100 Bettendorf IA 52722-7564 |
| Practice Telephone | 5633220971 |
| Practice Fax Number | 5633240615 |
| Mailing Telephone | 5633220971 |
| Mailing Fax Number | 5633240615 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2011-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
036075860 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
28751 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 57863 | 01 |
| IA | WELLMARK | 58096 | 01 |
| IA | JOHN DEERE FAMILY | T80827 | 01 |
| IA HEALTH SOLUTIONS | 19769 | 01 | |
| RR MEDICARE | 200029104 | 01 | |
| HEALTH ALLIANCE | 041993 | 01 | |
| FIRST HEALTH | 1602944 | 01 | |
| IL | BCBS | 8121085 | 01 |
| MIDLANDS CHOICE | 15561 | 01 | |
| IA | JOHN DEERE FAMILY | IA0144 | 01 |
| IA | 0084335 | 05 |
| Street Address |
2300 53RD AVE SUITE 100 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187259 | Peter C Rink | Orthopaedic Surgery | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2006-01-06 |
| 1699257923 | Lauren Bethany Warner | Nurse Practitioner | 2300 53rd Ave, Bettendorf, IA 52722-7564 | 2018-09-04 |
| 1891171369 | Jessica M Mckearney | Nurse Practitioner | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2015-08-06 |
| 1609266295 | Rachel Paulsen | Physical Therapist | 2300 53rd Ave, Ll02, Bettendorf, IA 52722-7564 | 2015-02-03 |
| 1679976732 | Stefanie A Glider | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2014-10-03 |
| 1508265398 | Elizabeth Brandt | Occupational Therapist | 2300 53rd Ave, Ste. Ll02, Bettendorf, IA 52722-7564 | 2014-08-18 |
| 1588090476 | Jason Robert Ryckeghem | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2013-09-24 |
| 1609149368 | Kyle A Merten | Physical Therapist | 2300 53rd Ave, Suite Ll02, Bettendorf, IA 52722-7564 | 2012-02-10 |
| 1184904567 | Bradi Michael Peter Kipper | Physician Assistant | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564 | 2011-08-17 |
| 1093022873 | Ryan Travis Pokorney | Orthopaedic Surgery | 2300 53rd Ave, Bettendorf, IA 52722-7564 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090234 | Daniel Joseph Mcguire | Orthopaedic Surgery | 623 E 12th St, Des Moines, IA 50309-5515 | 2005-08-15 |
| 1144628587 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2014-12-17 |
| 1962830042 | Pedro Abraham Ricart Hoffiz | Orthopaedic Surgery | 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503-4619 | 2013-10-28 |
| 1043599103 | Hani Assoum | Orthopaedic Surgery | 200 Hawkins Dr Dept Of, 01017 Jpp, Iowa City, IA 52242-1007 | 2011-08-08 |
| 1457669418 | El Amir Bachar Farouk Harfouch | Orthopaedic Surgery | 200 Hawkins Dr, Department of Orthopaedics, Iowa City, IA 52242-1007 | 2010-09-23 |
| 1326364449 | Trevor Richard Schmitz | Orthopaedic Surgery | 450 Laurel St, Suite A, Des Moines, IA 50314-3045 | 2010-04-14 |
| 1851509152 | Mauricio A Campos | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-18 |
| 1619071826 | William Oliver Samuelson | Orthopaedic Surgery | 2800 Pierce St, Ste 101, Sioux City, IA 51104 | 2006-09-08 |
| 1568404788 | Mark Palit | Orthopaedic Surgery | 1316 S Main St, Clarion, IA 50525-2019 | 2006-06-12 |
| 1932190972 | Robert Douglas Foster | Orthopaedic Surgery | 1225 S Gear Ave, Ste. 254, West Burlington, IA 52655-1691 | 2005-10-31 |
| Find all providers with the same taxonomy | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
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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.