Timo M Quickert MD LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

TIMO M QUICKERT MD LLC

Practice address

4848 Thompson Pkwy
Suite 300
Johnstown, CO 80534-6433

Phone

(970) 800-4145

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Timo Matthias Quickert, MD

Title

Owner

Phone

(970) 672-6984

Specialties & licenses 1

Addresses

Other names 1

• Premier Vein & Pain Center Doing business as

Locations

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1336493048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 TALIESIN WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249375",
            "telephone_number": "970-672-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 THOMPSON PKWY",
            "address_2": "SUITE 300",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346433",
            "telephone_number": "970-800-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMO M QUICKERT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "QUICKERT",
        "authorized_official_first_name": "TIMO",
        "authorized_official_middle_name": "MATTHIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-672-6984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Vein & Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fernando Techy, M.D.
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• Thompson River Pediatrics and Urgent Care, LLC
• Cary L Thorson, RPA
• Joseph D Timmermeyer, SAC
• Jeffrey S Tippets, D.D.S.
• Nicole M Tolle, PHD, LPC, CAC III
• Jack Torres, MD
• Libby Triolo, M.A. LPC
• Rachel Unruh, APRN, CPNP-PC

• Vascular & Interventional Radiology Physician in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Vascular & Interventional Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.