TIMOTHY J. FLOCK MD – NPI #1760477368
Orthopaedic 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.

TIMOTHY FLOCK is an orthopaedic surgeon located in LEWISTON, ID. NPPES has assigned the NPI number 1760477368 to TIMOTHY FLOCK on September 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XX0004X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Foot and Ankle Surgery

The NPI profile was previously updated about 10 years ago on Jun 24, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY FLOCK below.

NPI Profile for
TIMOTHY J. FLOCK

NPI Number
1760477368
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY J. FLOCK
Credentials
MD
Primary location
320 WARNER DR
LEWISTON, ID 83501
Phone: (208) 743-3523 Fax: (208) 746-8741
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for TIMOTHY FLOCK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF IDAHOIDDA673
OTHERREGENCEID00001000102
MEDICAIDID003688100
MEDICAIDWA8177388
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0004X
- Orthopaedic Surgery / Foot and Ankle Surgery (Primary)
WA MD00032793

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.