DR. TIMOTHY RICHARD GALL (NPI# 1174934608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174934608 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY RICHARD GALL |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Neurology Tacoma WA 98431-0001 |
| Practice Telephone | 2533968144 |
| Mailing Telephone | 2533968144 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
0101258825 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
9040 JACKSON AVE NEUROLOGY |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972703460 | Justin Shields | Psychiatry & Neurology | Madigan Army Medical Ctr, 9040 A Reid St. Dept of Medicine, Tacoma, WA 98431-0001 | 2007-07-23 |
| 1255474599 | Pediatric Neurology Associates Ps | Psychiatry & Neurology | 2201 S 19th St, Suite 205, Tacoma, WA 98405-2962 | 2007-02-15 |
| 1174596415 | Jodie Lynn Bolt | Psychiatry & Neurology | 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346516168 | Juliane Gust | Psychiatry & Neurology | 4800 Sand Point Way Ne # 7.420, Seattle, WA 98105-3901 | 2012-03-27 |
| 1700192044 | Ilene Sue Ruhoy | Psychiatry & Neurology | 2900 Ne Blakeley St, Suite C, Seattle, WA 98105-3100 | 2010-08-24 |
| 1538362744 | Stephen Tolman Glass | Psychiatry & Neurology | 19515 North Creek Parkway, Suite 308, Bothell, WA 98011 | 2007-06-06 |
| 1124102843 | Brien W. Vlcek | Psychiatry & Neurology | 801 Broadway Ste 711, Seattle, WA 98122-4328 | 2006-10-25 |
| 1346353042 | Daniel W. Stowens | Psychiatry & Neurology | 750 Swift Blvd Ste 15, Richland, WA 99352-3521 | 2006-08-16 |
| 1962453472 | Catherine M Amlie Lefond | Psychiatry & Neurology | Seattle Children's Hospital, 4800 Sand Point Way Ne, Seattle, WA 98105 | 2006-05-12 |
| 1336568484 | Michael Edward Haws | Psychiatry & Neurology | 101 W 8th Ave Ste 4200, Spokane, WA 99204 | 2014-04-15 |
| 1487072765 | Alicia Fernanda Henriquez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-02 |
| 1205270618 | Carey Lockhart | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-29 |
| 1790043396 | Aimee Aoi Sato | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-05-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.