John Randall Timko, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH0004523 Issued in FL

Practice address

844 N Stone St
202
Deland, FL 32720-3208

Phone

(386) 734-2592

Fax

(386) 734-1773

NPI assigned

Feb 23, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Wellness Chiropractic Center of Deland LLCGroup PAC ID 8224543400, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Complete Wellness Chiropractic Center of Deland LLC

  dba Complete Wellness Medical Center

  • Orthopedic Chiropractor
  • Deland, FL
  • NPI 1134249618
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1326174673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST",
            "address_2": "202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-734-2592",
            "fax_number": "386-734-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKO",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0004523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055613100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timko Hearing Care, P.L. (uHear)
• Timko Hearing Care, P.L. (uHear)
• James R Timko, M.A.,CCC-A
• Jeffrey L Timko, OD
• Jeffrey Ryan Timko, OD
• Keiron Timothy, M.A.
• Seth Tisdale, MS,ATC, LAT,CES
• Lalita D Tivey, DPT, ATC
• TLC Rehab, LLC
• Flor Toledo

• Orthopedic Chiropractor in Deland, FL
• Providers in Deland, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.

Verify at the official NPI Registry.