Individual provider Active NPI

Timothy Gribbin Tomlinson, DPM

  • Podiatrist
  • Gooding, ID
National Provider Identifier
1518018969
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P134 Issued in ID
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002858600MedicaidID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000553 ID Practitioner - Podiatry 5890703821 Reassigns benefits to 3 organizations
Practice locations: Gooding, ID

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
Lost Rivers Medical CenterGroup PAC ID 7810807427, 16 clinicians

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

LicenseStateTypeSpecialty
P134IDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lost Rivers Medical Center CurrentSince May 3, 2026 Accepting new patients
Gooding County Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.