DR. TIMOTHY A GOCKE (NPI# 1316359417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316359417 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY A GOCKE |
| Credential | D.O. |
| Practice Address |
Camp Walker Wood Clinic Apo AP 96218 |
| Mailing Address |
1 Jarrett White Rd Tripler Army Medical Center Tripler Army Medical Center HI 96859-5001 |
| Practice Telephone | 3157374797 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1487 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1316359417 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 | 8084334049 |
| Street Address |
CAMP WALKER WOOD CLINIC |
| City | APO |
| State | AP |
| Zip Code | 96218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578097093 | Jeremy Giambo | Military Health Care Provider | Camp Walker, Unit 15021, Apo, AP 96218-0178 | 2017-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073876165 | Erika Walker | Physician Assistant | Wood Medical Clinic, Camp Walker, Apo, AP 96218 | 2012-06-22 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1891853743 | D Co 168th Med Bn Box 36b Apo Ap 96218 | Clinic/Center | D Co 168th Med Bn Unit 15021 Box 36b, Apo, AP 96218 | 2006-12-04 |
| 1497832992 | Donald B. Guffie | Social Worker | D Co 168th Med Bn, Unit# 15021, Apo, AP 96218 | 2006-11-01 |
| 1306935598 | Juanita Gauss | Registered Nurse | Dco 168th Med Bn, Unit 15021 Box A38, Apo, AP 96218 | 2006-10-12 |
| 1346256740 | Timothy Scott Congdon | Physician Assistant | D Co 168th Med Bn Unit 15021 Box B47, Apo, AP 96218 | 2006-07-31 |
| 1508856212 | Dcsfhp, Ohs, 18th Medcom | Clinic/Center | 168th Med Bn Unit 15021, Box 10-b, Apo, AP 96218 | 2005-10-25 |
| 1578764718 | Flora Manhan Chan | Dentist | 618th Dental Company, Unit 15659, Box 846, Apo, AP 96218 | 2007-05-29 |
| 1538205281 | Dejuana Lynette Riat | Physician Assistant | D Co 168th Med Bn, Box 36-b Camp Walker, Apo, AP 96218 | 2007-01-29 |
| 1639574023 | Chianti K Ivory | Nurse Practitioner | Psc 305 Box 746, Apo, AP 96218-0008 | 2014-10-28 |
| Find all providers in zip 96218 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
| 1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
| 1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| 1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
| Find all providers in APO | ||||
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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.