Timothy Thue (NPI# 1366812786, PAC ID# 6608177092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366812786 |
| PAC ID by PECOS | 6608177092 |
| Professional Enrollment ID | I20151208002445 |
| Full Name | Timothy Thue |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Address |
7000 Boulder Ave Highland CA 92346-3348 |
| Phone Number | 9098621191 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547164295 |
| Number of Group Practice Members | 281 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050272 | REDLANDS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7000 Boulder Ave, Highland, CA 92346-3348 | 9098621191 | BEAVER MEDICAL GROUP, L.P. |
| 2 W Fern Ave, Redlands, CA 92373-5916 | 9097933311 | BEAVER MEDICAL GROUP, L.P. |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Tyler | Physician Assistant | Beaver Medical Group, L.p. | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 |
| Prince C Esiobu | Vascular Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| Madeline R Deutsch | Hospitalist | Beaver Medical Group, L.p. | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Mi La Kim | Nurse Practitioner | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Katrina Carter | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Tonya Ann Yoney | Family Medicine | Beaver Medical Group, L.p. | 5957 W Ramsey St, Banning, CA 92220-3058 |
| Edmund Ko | Urology | Beaver Medical Group, L.p. | 6109 W Ramsey St, Banning, CA 92220-3051 |
| Glen R Gaerte | Optometry | Beaver Medical Group, L.p. | 1300 E Cooley Dr, Colton, CA 92324-3905 |
| Michael G Leong | Family Medicine | Beaver Medical Group, L.p. | 7223 Church St C, Highland, CA 92346-5816 |
| Street Address |
7000 BOULDER AVE |
| City | HIGHLAND |
| State | CA |
| Zip | 92346-3348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Saulina Marpaung | Nurse Practitioner | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Philip Lee | Family Medicine | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Regan S Douty | Internal Medicine | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Charlene De Grassi | Nurse Practitioner | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Shelley C Thiel | Otolaryngology | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Claudia K Stoll | Physician Assistant | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Mohamed Sami Elsharif | Neurology | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Ankona Ghosh | Otolaryngology | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Mamdooh Z Gayid | Internal Medicine | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Miller | Optometry | 6836 Palm Ave, Highland, CA 92346-2513 | |
| Richard Kangah | General Practice | Ultimate Medical Practice A Professional Corporation | 3606 E Highland Ave, Suite 108, Highland, CA 92346-2608 |
| Beatrice Okoreeh-kangah | Nurse Practitioner | Ultimate Medical Practice A Professional Corporation | 3606 E Highland Ave, Suite 108, Highland, CA 92346-2608 |
| Peter Ehren Sterbutzel | Obstetrics/gynecology | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Jonathan K Stobaugh | Physician Assistant | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Luis R Madrid | Physician Assistant | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Rachel F Holybee | Physician Assistant | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Nahidh W Hasaniya | Thoracic Surgery | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Janette M Carpenter | Otolaryngology | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| William M Schlegel | Physician Assistant | Dignity Health Medical Foundation | 4240 Highland Ave, Highland, CA 92346-2764 |
| Find all physicians in zip 92346 | |||
| City | HIGHLAND |
| Zip Code | 92346 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HIGHLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Timothy Thue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.