Active NPI
Timothy Gribbin Tomlinson, DPM
- Podiatrist
- Gooding, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P134
- Practice address
- 267 N Canyon Dr
NCMC Specialty Clinic
Gooding, ID 83330-5500 - Phone
- (208) 934-8829
- NPI assigned
- Jan 14, 2007
- Last updated
- Dec 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P134 | ID | Primary |
Addresses
Primary practice location
267 N Canyon Dr
NCMC Specialty Clinic
Gooding, ID 83330-5500
Mailing address
355 Bracken St N
P.O. Box 602
Twin Falls, ID 83301-4513
Phone (208) 734-6089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002858600 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
313 Hwy 93
Mackay Clinic
Mackay, ID 83251-1111
Phone (208) 588-2993
551 Highland Dr
Arco, ID 83213-5003
Phone (208) 252-7654
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P134 | ID | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lost Rivers Medical Center | Current | Accepting new patients | |
| Gooding County Hospital District | Past | Accepting new patients |
Interoperability endpoints
- timothy.tomlinson.1@11894.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
-
- Critical Access Hospital
- Gooding, ID
- NPI 1295769537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1518018969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BRACKEN ST N",
"address_2": "P.O. BOX 602",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014513",
"telephone_number": "208-734-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"address_2": "NCMC SPECIALTY CLINIC",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "TIMOTHY",
"middle_name": "GRIBBIN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ID",
"license": "P134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002858600",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gooding, ID
- Jennifer Rose Strout, L LMSW-37035
- TDC Gooding PLLC (Today's Dental Care Gooding)
- The Walker Center for Alcoholism and Drug Abuse, Inc.
- The Walker Center for Alcoholism and Drug Abuse, Inc. (The Walker Center)
- Oliver W Thompson, MPH
- Toone Inc.
- Tara Toone, TSLP
- Connie Vankleeck, OTR/L
- Judith Marie Walburn, PTA-245
- Jennifer A Wert, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.