TIMOTHY J. ZIELICKE D.O. – NPI #1841638723
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

TIMOTHY ZIELICKE is a physician located in MERIDIAN, ID. NPPES has assigned the NPI number 1841638723 to TIMOTHY ZIELICKE on June 12, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 3 years ago on Apr 04, 2023. 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 ZIELICKE below.

NPI Profile for
TIMOTHY J. ZIELICKE

NPI Number
1841638723
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY J. ZIELICKE
Credentials
D.O.
Primary location
3551 E OVERLAND RD
MERIDIAN, ID 83642-6757
Phone: (208) 884-1333 Fax:
2 Other location(s):
7600 N Mineral Dr
Coeur D Alene, ID 83815-9169
Phone: (208) 457-4208
Fax: (208) 457-4197
1641 E Polston Ave Ste 101
Post Falls, ID 83854-7852
Phone: (208) 457-4208
Fax: (208) 457-4197
Mailing address
1593 E POLSTON AVE
POST FALLS, ID 83854-5326
Phone: (208) 262-2300 Fax: (208) 262-2349
Sole Proprietor
No
Updated
Certification Date
Apr 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TIMOTHY ZIELICKE

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
medicaidID1841638723
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
ID O-1548

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.

Additional Information

Education
PACIFIC MEDICAL COLLEGE - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TIMOTHY ZIELICKE is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKE'S REGIONAL MEDICAL CENTER
      190 EAST BANNOCK STREET
      BOISE, ID 83712

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.