Timothy Justice MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

32332 Issued in CO

Legal business name

TIMOTHY JUSTICE MD PC

Practice address

425 College Ave
Boulder, CO 80302-7131

Phone

(303) 666-2095

Fax

(303) 666-1801

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Justice, MD

Title

President

Phone

(303) 666-2095

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1437337094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 COLLEGE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027131",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 COLLEGE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803027131",
            "telephone_number": "303-666-2095",
            "fax_number": "303-666-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY JUSTICE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "32332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01323328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelyn Raye Tiffany I
• Bruce C Tift, MA, LMFT
• Tim Lowney DC
• Judith A Timchula, DDS
• Danielle Timm
• Lynn C Tirop
• Rebecca Jean Tober, REBECCA TOBER, ATC
• Jacob Tobey
• John Tobey, MD
• Eric Tobin, PHARMD

• Specialist in Boulder, CO
• Providers in Boulder, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.