Timothy M Brinker (NPI# 1316185499, PAC ID# 2466611934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316185499 |
| PAC ID by PECOS | 2466611934 |
| Professional Enrollment ID | I20120302000459 |
| Full Name | Timothy M Brinker |
| Organization Legal Name | KETCHIKAN INDIAN CORPORATION |
| Address |
2960 Tongass Ave Ketchikan AK 99901-5742 |
| Phone Number | 9072289200 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426043761 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021311 | PEACEHEALTH KETCHIKAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 9072289200 | KETCHIKAN INDIAN CORPORATION |
| Organization Legal Name | KETCHIKAN INDIAN CORPORATION |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahija Mungara | Psychiatry | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Harvey L Lesser | Physician Assistant | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Kevin Arthur Hall | Family Medicine | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Pamela L Rogers | Nurse Practitioner | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Charles M Nieto | Family Medicine | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Ahmad Ijaz Shafi | General Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Sheila L Kimble Haas | Certified Nurse Midwife | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Kathryn L Price | Family Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Theresa F Nielsen | Nurse Practitioner | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Tarra D Wasilchen | Family Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Street Address |
2960 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip | 99901-5742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mahija Mungara | Psychiatry | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Harvey L Lesser | Physician Assistant | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Kevin Arthur Hall | Family Medicine | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Pamela L Rogers | Nurse Practitioner | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Charles M Nieto | Family Medicine | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Ahmad Ijaz Shafi | General Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Sheila L Kimble Haas | Certified Nurse Midwife | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Kathryn L Price | Family Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Theresa F Nielsen | Nurse Practitioner | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Tarra D Wasilchen | Family Practice | Ketchikan Indian Corporation | 2960 Tongass Ave, Ketchikan, AK 99901-5742 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew F Zink | Obstetrics/gynecology | Peacehealth | 141 Bryant St, Ketchikan, AK 99901-5534 |
| Tammy L Earnest | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Chelsea Ria Youmans | Nurse Practitioner | Serenity Health and Wellness LLC | 120 Carlanna Lake Rd, Suite 102, Ketchikan, AK 99901-5611 |
| Marilyn Kay Holm | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Ricky D. Swearingen | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Erik Daniel Christianson | Optometry | Ketchikan Eye Care Center, L.L.C. | 351 Carlanna Lake Rd, Ketchikan, AK 99901-5614 |
| Marina Judith-rowe Mcintyre | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Jessica R Pilcher | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Helen Rose Klein | Nurse Practitioner | Legacy Health Clinic LLC | 3524 Tongass Ave, Ketchikan, AK 99901-5635 |
| Cynthia L Wornstaff | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | |
| Find all physicians in zip 99901 | |||
| City | KETCHIKAN |
| Zip Code | 99901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KETCHIKAN + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.