Timothy S Hofeldt MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD150323 Issued in OR

Legal business name

TIMOTHY S HOFELDT MD PC

Practice address

1345 NW Wall St
Suite 200
Bend, OR 97701-1972

Phone

(541) 382-1395

Fax

(541) 382-6576

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy S Hofeldt, MD

Title

Owner

Phone

(541) 382-1395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1548529365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011972",
            "telephone_number": "541-382-1395",
            "fax_number": "541-382-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S HOFELDT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "HOFELDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-382-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD150323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Timm, D.M.D
• Kristina Timmons, FNP-C
• Rebecca A Timms, LCSW
• Shelby Timms, BA, LMT
• Timothy Moore
• Kelli Rhianne Timson, LMT
• Anna Reed Tinker
• Gerold James Tinsley
• Angeleia E Tipton, DTCM
• Dakota J. Tittle, CRM

• Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.