MR. TIMOTHY D LOCKNANE (NPI# 1639224074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639224074 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY D LOCKNANE |
| Credential | M.D. |
| Practice Address |
12911 120th Ave Ne Suite H-210 Kirkland WA 98034-3027 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 4258234000 |
| Practice Fax Number | 4258213550 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD00036179 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | 1856LO | 01 |
| WA | LABOR AND INDUSTRIES | 204713 | 01 |
| WA | AETNA | 5237760 | 01 |
| WA | TAX ID | 56-2521538 | 01 |
| Street Address |
12911 120TH AVE NE SUITE H-210 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125188 | Aileen Ann Mickey | Internal Medicine | 12911 120th Ave Ne, Evergreen Pulmonary Care Center, Suite G-105, Kirkland, WA 98034-3027 | 2005-09-26 |
| 1912459652 | Cascade Natural Medicine | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2016-10-28 |
| 1306396338 | Clark Anthony Laprelle II | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2016-10-14 |
| 1457726143 | Chapin Densmore,dds, Ps | Dentist | 12911 120th Ave Ne, Suite D 50, Kirkland, WA 98034-3027 | 2015-12-06 |
| 1316340706 | Krystal Plonski | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2014-09-30 |
| 1114334612 | Rx Digital Radiology, LLC | Radiology | 12911 120th Ave Ne, F-240, Kirkland, WA 98034-3027 | 2014-07-16 |
| 1417360124 | Chapin Densmore | Dentist | 12911 120th Ave Ne, Suite D50, Kirkland, WA 98034-3027 | 2014-06-10 |
| 1265776470 | Garrett D. Gray | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-11-12 |
| 1427300565 | Sarah Severance Goble | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-10-14 |
| 1205194982 | Integrated Rehab Group Limited Partnership | Occupational Therapist | 12911 120th Ave Ne, #f120, Kirkland, WA 98034-3027 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538278379 | William Stuart Gould | Family Medicine | 13118 121st Way Ne, Suite 100, Kirkland, WA 98034-3004 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326565110 | Family Care Network, Pllc | Family Medicine | 3130 Squalicum Pkwy Ste 110, Bellingham, WA 98225-1940 | 2017-08-23 |
| 1578682100 | Robert Stewart Nicol | Family Medicine | 23512 Ne 206th St, Battle Ground, WA 98604-9699 | 2007-03-28 |
| 1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
| 1821132481 | James E Hult | Family Medicine | 800 N 5th Ave # 101, Sequim, WA 98382-3045 | 2007-02-16 |
| 1598874430 | Patrick Z Pearce | Family Medicine | 730 N Hamilton St, Spokane, WA 99202-2045 | 2006-08-30 |
| 1265450514 | Lawrence J Greenblatt X | Family Medicine | 1407 116th Ave Ne Ste 102, Bellevue, WA 98004-3819 | 2006-07-17 |
| 1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
| 1528015229 | Public Hospital District #1 of King County | Family Medicine | 3600 Lind Ave Sw, Suite 170, Renton, WA 98055-4934 | 2006-05-28 |
| 1063486074 | Warren Billings Howe | Family Medicine | 516 High St, Wwu Student Health (ms-9132), Bellingham, WA 98225-5946 | 2006-02-15 |
| 1588280804 | Rainier Family and Sports Medicine P C | Family Medicine | 16202 64th St E Ste 104, Sumner, WA 98390-3028 | 2020-06-23 |
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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.