Individual provider Active NPI

Timothy Burton Maclin, DPM

  • Podiatrist
  • Tulsa, OK
National Provider Identifier
1306955018
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
165 Issued in OK
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

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0657650001OtherOKDMERC
731308674003OtherOKCIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of nail tissue92
Removal or shaving of skin growth46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
165OKMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy B. Maclin Podiatrist PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.