Dr. Timothy Roger Black
DPM | Podiatrist | 25+ years Exp
Medicare Enrolled
3652 Washington Pkwy, Idaho Falls
Idaho, 83404-7573
208-528-8700 208-528-2802
Maps & DirectionsDr. Timothy Roger Black is a Idaho Falls, Idaho based podiatrist with 25 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 2000. He is also affiliated with hospitals like Mountain View Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Timothy Roger Black for Podiatry is P-169 in Idaho.
Dr. Timothy Roger Black is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Timothy Roger Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 25+ years |
| Medical School Attended: | California School Of Podiatric Medicine |
| Graduation Year: | 2000 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3652 Washington Pkwy, Idaho Falls,
Idaho, 83404-7573 |
| Phone: | 208-528-8700 |
| Fax: | 208-528-2802 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0244329738 |
| Enrollment ID: | I20071207000164 |
| NPI Number: | 1578753091 |
| NPI Enumeration Date: | 31 Jul, 2007 |
| NPI Last Update On: | 31 Oct, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Timothy Roger Black are as mentioned below.
| License Number | Specialization | State | Status | |
| P-169 | Podiatry | Idaho | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Mountain View Hospital (130065) | Idaho falls, ID | Acute Care Hospital |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1628 Elk Creek Dr,
Idaho Falls, Idaho |
| Zip: | 83404-8349 |
| Phone Number: | 208-528-8700 |
| Fax Number: | 208-528-2802 |
Patients can reach Dr. Timothy Roger Black at
3652 Washington Pkwy, Idaho Falls, Idaho or can
call to book an appointment on 208-528-8700.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.