Active NPI
Peter S Timko, DC
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1285817072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- AZ05748
- Practice address
- 2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027-5033 - Phone
- (602) 973-1630
- Fax
- (602) 973-1667
- NPI assigned
- Dec 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | AZ05748 | AZ | Primary |
Addresses
Primary practice location
2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027-5033
Mailing address
2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027-5033
Phone (602) 973-1630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z72964 | Other | AZ | MC ORGANIZATIONAL PROV ID |
| Z72965 | Other | AZ | MC PROVIDER INDIVIDUAL ID |
Other names 1
- Dr. P. Scott Timko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14155 N 83Rd Ave
Suite 102
Peoria, AZ 85381-5640
Phone (623) 878-0475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ05748 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Solutions Physical Medicine | Current | Accepting new patients | |
| Gonstead Physical Medicine PC | Chiropractor | Current | Accepting new patients |
| Align Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| New Solutions Health Center LLC | Chiropractor | Current | Accepting new patients |
| P Scott Timko DC PLLC | Chiropractor | Past | Accepting new patients |
Locations
14155 N 83rd Ave
Ste 102
Peoria, AZ 85381
Phone (623) 878-0472
2735 W Union Hills Dr
Ste 102
Phoenix, AZ 85027
Phone (602) 973-1630
Organizations & group practices 5
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.
-
- Chiropractor
- Peoria, AZ
- NPI 1578373726
-
- Chiropractor
- Phoenix, AZ
- NPI 1316163751
-
- Family Nurse Practitioner
- Peoria, AZ
- NPI 1689474413
-
- Chiropractor
- Surprise, AZ
- NPI 1588969729
-
- Chiropractor
- Phoenix, AZ
- NPI 1528032869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1285817072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 W UNION HILLS DR",
"address_2": "STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275033",
"telephone_number": "602-973-1630",
"fax_number": "602-973-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 W UNION HILLS DR",
"address_2": "STE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275033",
"telephone_number": "602-973-1630",
"fax_number": "602-973-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMKO",
"first_name": "PETER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-14",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "AZ05748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC ORGANIZATIONAL PROV ID",
"identifier": "Z72964",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC PROVIDER INDIVIDUAL ID",
"identifier": "Z72965",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P.",
"last_name": "TIMKO",
"middle_name": "SCOTT",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.