Timothy Mark Kobernik, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00002182 Issued in WA

Practice address

Madigan Army Medical Ctr
9040 Reid St. Attn MCHJ-QCR
Tacoma, WA 98431-1100

Phone

(253) 968-6033

Fax

(253) 968-2826

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

College of Osteo Med of the Pacific at Pomona, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eppel Family Medicine LLCGroup PAC ID 3870748122, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eppel Family Medicine LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Port Orchard, WA
  • NPI 1134472947
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1588733604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040 REID ST. ATTN MCHJ-QCR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-6033",
            "fax_number": "253-968-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CTR",
            "address_2": "9040 REID ST. ATTN MCHJ-QCR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-968-6033",
            "fax_number": "253-968-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBERNIK",
        "first_name": "TIMOTHY",
        "middle_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeoun Ko
• Janet Kobayashi-Hobson, CCC
• Amanda Sanae Mei Lin Kobayashi, DDS
• Jenny Kobayashi
• Marjorie Ann Kober, RN
• Lillian H Koblenz, MD
• Jessica Koby, D.M.D.
• Lisha Danelle Koch, LMT
• Melissa M Koch
• Sandra Lou Koch, OTR

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.

Verify at the official NPI Registry.