Dr. Timothy Roger Black is a Idaho Falls, Idaho based male podiatrist with 24 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:
Podiatrist
Credentials:
DPM
Experience:
24+ 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:
Surgeons 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Tony Dale Quinton, DPM 26+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 3200 Channing Way Ste 206, ID Phone: 208-529-2230 Fax: 208-453-6142
Bradley James Speciality: Address: 3345 S Holmes Ave, ID Phone: 208-528-6225