Individual provider Active NPI

Timothy J Docter, MD

  • Orthopaedic Surgery Physician
  • Madison, WI
National Provider Identifier
1306883160
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
26551-020 Issued in WI
Practice address
2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone
(608) 294-6464
Fax
(608) 288-6495
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 26551-020 WI Primary

Addresses

Primary practice location

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309

Mailing address

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone (608) 294-6464

Other practice location 1

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone (608) 294-6464

Other identifiers 1

IdentifierTypeStateIssuer
30816300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26551-020WIMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1306883160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132309",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132309",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Beltline Hwy Ste 601",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537132309",
            "country_code": "US",
            "telephone_number": "608-294-6464",
            "fax_number": "608-288-6495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCTER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "26551-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30816300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.