DR. TIMOTHY JAMES MINEO (NPI# 1275730459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275730459 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES MINEO |
| Credential | D.P.M. |
| Practice Address |
24076 Se Stark St Suite 110 Gresham OR 97030-3373 |
| Mailing Address |
16890 Sw Ledgestone Dr Beaverton OR 97007-5189 |
| Practice Telephone | 5036615388 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP151976 | OR | Podiatric Medicine & Surgery Service Providers |
| Street Address |
24076 SE STARK ST SUITE 110 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070873 | Shammai Rockove | Urology | 24076 Se Stark St, Suite 310, Gresham, OR 97030-3373 | 2005-08-16 |
| 1538659578 | Claire Valentine | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030 | 2018-05-15 |
| 1598289282 | Stephen Matthew Block | Physical Therapist | 24076 Se Stark St, Gresham, OR 97030-3373 | 2017-08-03 |
| 1114479458 | Anna Lee | Physician Assistant | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2016-11-03 |
| 1265801070 | Patrick Clinton | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2015-09-22 |
| 1932548161 | Jenna Lee Esterberg | Physician Assistant | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2013-06-20 |
| 1922371947 | Armworks Hand Therapy, LLC | Durable Medical Equipment & Medical Supplies | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2012-02-22 |
| 1225311210 | Shelley Piers-vanderploeg | Physical Therapist | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3373 | 2011-09-26 |
| 1932497518 | Christina Doughty | Physician Assistant | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3373 | 2011-07-15 |
| 1205130473 | Jennifer Robyn Briggs | Audiologist | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871819078 | Jamie Mieras | Podiatrist | 25050 Se Stark St, Ste 265, Gresham, OR 97030-3327 | 2010-04-13 |
| 1760463889 | Derek J Mccammon | Podiatrist | 24076 Se Stark St Ste 110, Gresham, OR 97030-3374 | 2005-11-07 |
| 1851587364 | Grayden Woodruff King | Podiatrist | 831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 | 2007-09-18 |
| 1891742318 | Gresham Podiatry Center, LLC | Podiatrist | 831 Nw Council Dr, Suite #203, Gresham, OR 97030-3721 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003432204 | Frontier Foot and Ankle Specialists LLC | Podiatrist | 780 2nd St Se # 10, Bandon, OR 97411-8354 | 2020-06-23 |
| 1710436662 | Hermiston Family Foot Clinic LLC | Podiatrist | 1050 W Elm Ave Ste 170, Hermiston, OR 97838-2715 | 2016-10-03 |
| 1255784492 | Sunny Sajjad | Podiatrist | 4905 River Rd N, Keizer, OR 97303-4539 | 2016-07-22 |
| 1285080556 | Sean Westover | Podiatrist | 1227 Ne 7th St Ste A, Grants Pass, OR 97526-1430 | 2016-05-05 |
| 1659774792 | Heather Keeler | Podiatrist | 1880 Willamette Falls Dr Ste 111, West Linn, OR 97068-4653 | 2014-10-03 |
| 1386051803 | Southwest Podiatry Center LLC | Podiatrist | 9370 Sw Greenburg Rd Ste 102, Portland, OR 97223-5428 | 2014-07-16 |
| 1578980694 | Amy Theppote | Podiatrist | 6542 Se Lake Rd Ste 102, Milwaukie, OR 97222-2245 | 2014-03-26 |
| 1144576224 | Trevor J Haynes | Podiatrist | 39400 Pioneer Blvd Ste 4, Sandy, OR 97055-8000 | 2012-07-26 |
| 1922379379 | John S Balknap Dpm PC | Podiatrist | 1716 E 12th St, The Dalles, OR 97058-3137 | 2012-01-17 |
| 1407145568 | Justin T Johnson Dpm Inc. | Podiatrist | 1661 Hwy 99 N Ste 201, Ashland, OR 97520-8900 | 2011-03-29 |
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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.