Timothy K Wilken (NPI# 1275536930, PAC ID# 7719087378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275536930 |
| PAC ID by PECOS | 7719087378 |
| Professional Enrollment ID | I20070711000558 |
| Full Name | Timothy K Wilken |
| Organization Legal Name | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Address |
501 Lighthouse Ave Monterey CA 93940-1439 |
| Phone Number | 8316490770 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466366703 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050145 | COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
| Address | Phone | Organization |
|---|---|---|
| 501 Lighthouse Ave, Monterey, CA 93940-1439 | 8316490770 | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DOCTORS ON DUTY MEDICAL GROUP, INC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Joel Hallas | Family Medicine | Doctors On Duty Medical Group, Inc | 615 Ocean St, Santa Cruz, CA 95060-4005 |
| Melissa Eileen Conroy | Physician Assistant | Doctors On Duty Medical Group, Inc | 1756 N Main St, Salinas, CA 93906-5103 |
| Denise Doronila | Physician Assistant | Doctors On Duty Medical Group, Inc | 1212 S Main St, Salinas, CA 93901-2260 |
| Eric Hohn | Orthopedic Surgery | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Jessica Zackel | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1513 Fremont Blvd, E1, Seaside, CA 93955-4319 |
| Steven C Schumann | Family Medicine | Doctors On Duty Medical Group, Inc | 558 Abbott St, Suite A, Salinas, CA 93901-4326 |
| Miki R Joy | Family Medicine | Doctors On Duty Medical Group, Inc | 3130 Del Monte Blvd, Marina, CA 93933-3047 |
| Asja Serdarevic | Nurse Practitioner | Doctors On Duty Medical Group, Inc | 1505 Main St, Watsonville, CA 95076-3761 |
| Lynne Domhoff | Physician Assistant | Doctors On Duty Medical Group, Inc | 1756 N Main St, Salinas, CA 93906-5103 |
| Allen A Bueno Del Bosque | Family Medicine | Doctors On Duty Medical Group, Inc | 1756 N Main St, Salinas, CA 93906-5103 |
| Street Address |
501 LIGHTHOUSE AVE |
| City | MONTEREY |
| State | CA |
| Zip | 93940-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James D Wells | Hospitalist | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Kara Lynn Coleman | Family Medicine | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Bret Nicholas Namihas | Family Practice | Doctors On Duty Medical Group, Inc | 501 Lighthouse Ave, Monterey, CA 93940-1439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir Leibovsky | Obstetrics/gynecology | 337 Eldorado St, Suite B4, Monterey, CA 93940 | |
| Lee M Hamilton | Family Practice | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Hami Ebrahimi | Internal Medicine | Monterey Hospitalist Medical Group | 23625 Wr Holman Hwy, Monterey, CA 93940 |
| Christopher L Tinker | Physical Therapy | 786 Lighthouse Ave, Monterey, CA 93940-1010 | |
| Craig D Schmitz | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Kimberly M Micheletti | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Shelley A Kroopf | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Travis D Jurgens | Physical Therapy | Bay Physical Therapy Inc | 500 Lighthouse Ave, Suite B, Monterey, CA 93940-1423 |
| Stephen S Lee | Dermatology | 284 Foam St, Suite 28, Monterey, CA 93940-1486 | |
| Eric S Lee | Dermatology | 284 Foam St, Suite 28, Monterey, CA 93940-1486 | |
| Find all physicians in zip 93940 | |||
| City | MONTEREY |
| Zip Code | 93940 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTEREY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy K Wilken.
| 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.