Active NPI
Timothy Burton Maclin, DPM
- Podiatrist
- Tulsa, OK
National Provider Identifier
1306955018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 165
- Practice address
- 9318 S Toledo CT
Tulsa, OK 74137-2746 - Phone
- (918) 749-3228
- Fax
- (918) 747-2759
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 165 | OK | Primary |
Addresses
Primary practice location
9318 S Toledo CT
Tulsa, OK 74137-2746
Mailing address
PO Box 21568
Tulsa, OK 74121-1568
Phone (918) 749-3228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0657650001 | Other | OK | DMERC |
| 731308674003 | Other | OK | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000373 | OK | Practitioner - Podiatry | 5698829588 | Practice locations: Tulsa, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9318 S Toledo CT
Tulsa, OK 74137-2746
Phone (918) 749-3228
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 92 |
| Removal or shaving of skin growth | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165 | OK | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy B. Maclin | Podiatrist | Past | Accepting new patients |
| Vista Wound Specialists LLC | Past | Accepting new patients | |
| Family Foot Care Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Podiatrist
- Tulsa, OK
- NPI 1134288780
-
- Foot Surgery Podiatrist
- Tulsa, OK
- NPI 1508949256
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1891583175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1306955018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21568",
"city": "TULSA",
"state": "OK",
"postal_code": "741211568",
"telephone_number": "918-749-3228",
"fax_number": "918-747-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9318 S TOLEDO CT",
"city": "TULSA",
"state": "OK",
"postal_code": "741372746",
"telephone_number": "918-749-3228",
"fax_number": "918-747-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLIN",
"first_name": "TIMOTHY",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OK",
"license": "165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0657650001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "731308674003",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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; Order and Referring.
- 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.