Dr. Timothy Roger Black, DPM
Dr. Timothy Roger Black, DPM is a Podiatry in Idaho Falls, Idaho. Graduated from California School of Podiatric Medicine in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 26
- Trained at
- California School of Podiatric Medicine
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
3652 Washington PkwyIdaho Falls, ID 83404-7573
Phone: (208) 528-8700
Fax: (208) 528-2802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence P-169 (ID) |
|---|
Record details
| NPI number | 1578753091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | July 31, 2007 |
| Last updated in NPPES | October 31, 2017 |
| Mailing address | 1628 Elk Creek Dr, Idaho Falls, ID 83404-8349 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | CALIFORNIA SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 2000 (26 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Idaho Falls
-
Andrew L McCall DPM PA
2920 Cortez Ave, Idaho Falls, ID 83404-7554 · (208) 529-0229
-
Dr. Jerry D Cooper, DPM
2565 Channing Way, Idaho Falls, ID 83404-7516 · (208) 523-2928
-
Dr. Michael K. James, DPM
3345 S Holmes Ave, Idaho Falls, ID 83404-7981 · (208) 528-6225
-
Andrew L McCall, DPM, PA
2920 Cortez Ave, Idaho Falls, ID 83404-7554 · (208) 529-0229
-
Mountain Crest Foot and Ankle PA
3652 Washington Pkwy, Idaho Falls, ID 83404-7573 · (208) 528-8700