Timothy Eugene Doerr, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M7259 Issued in ID

Practice address

8854 W Emerald St
Suite 140
Boise, ID 83704-4844

Phone

(208) 321-4790

Fax

(208) 321-4836

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Surgical Associates, PA

  • Surgery Physician
  • Boise, ID
  • NPI 1902854433

  Orthopaedic Surgery

  Medicare reassignment NPD
• Orthopedic Centers of Idaho P a

  • Orthopaedic Surgery Physician
  • Boise, ID
  • NPI 1487746541
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1083663868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST",
            "address_2": "STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044845",
            "telephone_number": "208-321-4790",
            "fax_number": "208-321-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST",
            "address_2": "SUITE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044844",
            "telephone_number": "208-321-4790",
            "fax_number": "208-321-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "TIMOTHY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M7259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00171922",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010004063",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804191700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "72595",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctx2, PLLC
• Kassie L Dodge, RD
• Kelley Anne Dodson, M.ED, BCBA
• Dawn R Doepke, LCSW
• Kirk Doering
• Barbara R Doherty, NP
• Elizabeth Ann Dohren
• Rachel S. Dolan
• Wiesia Domanska-Miville, LCPC
• Kylee Miranda Domby, NP

• Orthopaedic Surgery Physician in Boise, ID
• Providers in Boise, ID by specialty
• Orthopaedic Surgery Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.