Provider Demographics
NPI:1447255682
Name:TIMONEY, JAMES M (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:TIMONEY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:690 MINOT AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-3922
Mailing Address - Country:US
Mailing Address - Phone:207-783-1328
Mailing Address - Fax:207-795-0260
Practice Address - Street 1:690 MINOT AVE
Practice Address - Street 2:STE 1
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-3922
Practice Address - Country:US
Practice Address - Phone:207-783-1328
Practice Address - Fax:207-795-0260
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2012-09-19
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Provider Licenses
StateLicense IDTaxonomies
ME1430207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DX3182OtherNEW MEDICARE PTAN
006985OtherANTHEM
0378600001OtherDMERC
M4234OtherCIGNA
100294000OtherUSPS WC
MM0716OtherMEDICARE CLINIC FACILITY
010416156OtherTRAVELERS/CORE/MEDNET
1044480OtherAETNA
200020419OtherRR MEDICARE
201017OtherMEDICARE ASC FACILITY
E08891OtherHARVARD
MM4887OtherMEDICARE
ME304050099OtherMAINECARE
MM0716OtherMEDICARE CLINIC FACILITY