National Provider Identifier Database

TIMOTHY J FLOCK, MD – NPI #1760477368
Foot and Ankle Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.


Contact Information

TIMOTHY J FLOCK, MD
320 WARNER DR
LEWISTON, ID83501
Phone: 208-743-3523
Fax: 208-746-8741
Website:
Specialty Taxonomy Code
* Foot and Ankle Surgery 207XX0004X

* Indicates primary specialty

NPI Profile & details for TIMOTHY J FLOCK

NPI Number 1760477368
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 06/24/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • ID License #: M6831
  • WA License #: MD00032793
  • ID Medicaid: 003688100
  • WA Medicaid: 8177388
  • ID Other: DA673 BLUE CROSS OF IDAHO
  • ID Other: 00001000102 REGENCE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TIMOTHY J FLOCK, MD

There are currently no reviews for TIMOTHY J FLOCK, MD


NPIdb - Home
v2.201