Timberline Radiology PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TIMBERLINE RADIOLOGY PA

Practice address

24 Pleasant St
Suite 1a
Conway, NH 03818-6151

Phone

(603) 860-8674

Fax

(603) 447-4310

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Claire Patricia Meserve

Title

Billing Manager

Phone

(603) 860-8674

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Wayne Whitaker, M.D.

  • Diagnostic Radiology Physician
  • Conway, NH
  • NPI 1487653267
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477544807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038182048",
            "telephone_number": "160-386-0867",
            "fax_number": "160-344-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PLEASANT ST",
            "address_2": "SUITE 1A",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186151",
            "telephone_number": "603-860-8674",
            "fax_number": "603-447-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESERVE",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "603-860-8674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-PROV.#",
            "identifier": "01Y002516NH02",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30212757",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-PROV.#",
            "identifier": "708220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Robert Taylor, D.C.
• The Lawton West Group LLC
• Robyn Thomas, OTR/L
• Catherine Thompson, WAIVER
• Guy F Tillson
• Town of Conway
• Destinyann Tozier
• Nancy C. Tripp, LMT
• Jennifer Turner
• Brent Jeffrey Underkoffler, PT

• Diagnostic Radiology Physician in Conway, NH
• Providers in Conway, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.