MD Timothy Bock Icenogle, NPI 1285683029
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Spokane, WA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1285683029 |
| NPI Entity Type | Individual |
| Provider Name | MD Timothy Bock Icenogle |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 3415 W Horizon Ave, Spokane, WA, US |
| Provider Mailing Address | 3415 W Horizon Ave, Spokane, WA, US, 992088493 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Classification | |
| Group | |
| License No. | MD00026659 |
| License State | WA |
| Description | A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| MD00026659 | WA | No | |||
| S9004 | TX | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1072495 | WA | MEDICAID | 05 |
| 3505645 | MT | MEDICAID | 05 |
| 3756900 | ID | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 100 Hillcrest Medical Blvd, Waco, TX, US |
Other Providers in WA, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Katherine Delgadillo-soto Individual |
723 Sw 10th St |
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Compassionate Pathways Psychology Services, Llc Organization |
720 S 333rd St Ste 212 |
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PHARM.D. Daniel D Kim Individual |
17788 147th St Se |
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MD Srinivas Murthy Mascal Gangadharaiah Individual |
1200 N 14th Ave Ste 245 |
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Cynthia Huynh-wu Individual |
1914 N 34th St Ste 206 |
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MISS RN Cicely P Locks Individual |
1191 Nw Tahoe Ln |
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DR. LMHC, LPC, SUDP Steven Kyle Cardwell Individual |
110 Prefontaine Pl S |
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Megan Lee Individual |
Student in an Organized Health Care Education/Training Program |
1959 Ne Pacific St |
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MD Keith M. D'souza Individual |
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
401 15th Ave Se |
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Ryan Schwanke Individual |
4520 42nd Ave Sw Ste 34 |
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AAC Carmen Milagros Esquilin-cordero Individual |
25028 104th Ave Se |
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Nathan Sim Individual |
Student in an Organized Health Care Education/Training Program |
3919 N Maple St |
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MSW, AAC, CLIN2 Megan Fiona Cushing Individual |
4526 Federal Ave |
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MASSAGE THERAPIST Maya Ray-schoenfeld Individual |
3417 Evanston Ave N Ste 321 |
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DNP, ARNP, FNP-C Janelle Schwittay Individual |
916 S 3rd St |
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Mikaela Costales Individual |
27023 164th Ave Se |
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DR. OD Andy C Lai Individual |
4325 University Way Ne |
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LMHC, MHP, NCC Jonathan Clarke Goodman Individual |
1002 39th Ave Sw Ste 208 |
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BA Mimi Mi Kim Individual |
2802 Broadway |
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|
Michaela Mae Bassuer Individual |
Student in an Organized Health Care Education/Training Program |
505 N Argonne Rd Ste B206 |
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