Timothy C Fink, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Clarion, IA
NPI 1649257635 · NPPES record last updated Jul 26, 2007
Key facts
- NPI
- 1649257635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 02783 (IA)
- Practice address
- 1316 S Main St
Clarion, IA 50525-2019 - Phone
- (515) 532-2811
- Fax
- (319) 233-0722
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060522000125 | IA | Practitioner - Diagnostic Radiology | 3375554736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02783 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obria Medical Clinic of Ames | Diagnostic Radiology | Current |
Accepting new patients |
Locations
1606 Golden Aspen Dr
Ste 105
Ames, IA 50010
Phone (515) 232-8000
Interoperability endpoints
- timothy.fink.1@22186.direct.athenahealth.com
- https://api.platform.athenahealth.com/22186/brand/1/csg/1/fhir/r4
- timothy.fink.1@17228.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02783 | IA | Yes |
Addresses
Primary practice location
1316 S Main St
Clarion, IA 50525-2019
Mailing address
PO Box 2660
Waterloo, IA 50704-2660
Phone (319) 233-3044
Other providers in Clarion, IA
- DRS. Snively and Gildner P.C.
- Amanda Eekhoff
- Leigh Ellen Faaborg
- Corey Farnum
- Heidi Marie Farnum
- Piper Lane Finucan
- Lance John Fischer
- Vinnette Frank
- Angela D Frietze
- Daniel Mack Gabrielson
All providers in Clarion, IA · Diagnostic Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.