Individual provider Active NPI

Timothy C Fink, D.O.

  • Diagnostic Radiology Physician
  • Clarion, IA
National Provider Identifier
1649257635
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
02783 Issued in IA
Practice address
1316 S Main St
Clarion, IA 50525-2019
Phone
(515) 532-2811
Fax
(319) 233-0722
NPI assigned
Dec 29, 2005
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 02783 IA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20060522000125 IA Practitioner - Diagnostic Radiology 3375554736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Obria Medical Clinic of Ames Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients

Locations

1606 Golden Aspen Dr
Ste 105
Ames, IA 50010
Phone (515) 232-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22186/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.fink.1@17228.direct.athenahealth.com
  • Direct secure messaging: timothy.fink.1@22186.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1649257635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2660",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042660",
            "telephone_number": "319-233-3044",
            "fax_number": "319-233-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811",
            "fax_number": "319-233-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "02783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.