Active NPI
Timothy James Treible, MD
- Orthopaedic Surgery Physician
- Portland, OR
National Provider Identifier
1669454997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD15152
- Practice address
- 135 NE 102ND Ave
Portland, OR 97220-4167 - Phone
- (503) 255-5388
- Fax
- (503) 255-5085
- NPI assigned
- Nov 14, 2005
- Last updated
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD15152 | OR | Primary |
Addresses
Primary practice location
135 NE 102ND Ave
Portland, OR 97220-4167
Mailing address
135 NE 102ND Ave
Portland, OR 97220-4167
Phone (503) 255-5388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144972 | Medicaid | OR | |
| 0071885 | Other | WA | WA LABOR INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15152 | OR | MD | Orthopaedic Surgery Physician |
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.
-
dba East Portland Orthopedic and Fracture Clinic
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1518941525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1669454997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204167",
"telephone_number": "503-255-5388",
"fax_number": "503-255-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 NE 102ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204167",
"telephone_number": "503-255-5388",
"fax_number": "503-255-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREIBLE",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD15152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144972",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR INDUSTRY",
"identifier": "0071885",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.