Provider Demographics
NPI:1235923004
Name:TIMBERLINE PODIATRY PLLC
Entity type:Organization
Organization Name:TIMBERLINE PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:720-702-9245
Mailing Address - Street 1:7761 SHAFFER PKWY STE 225
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3729
Mailing Address - Country:US
Mailing Address - Phone:303-225-3391
Mailing Address - Fax:720-823-7462
Practice Address - Street 1:7761 SHAFFER PKWY STE 225
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3729
Practice Address - Country:US
Practice Address - Phone:303-225-3391
Practice Address - Fax:720-823-7462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty