Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy Thormodsgard, MD

Individual provider Surgery Physician · NPI 1063611770

Dr. Timothy Thormodsgard, MD is a General Surgery in Waconia, Minnesota. Graduated from Creighton University School of Medicine in 2007, 19 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Trained at
Creighton University School of Medicine
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

424 W Highway 5
Waconia, MN 55387-1723
Phone: (952) 442-4461
Fax: (952) 442-5753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 54999 (MN)

Record details

NPI number1063611770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 12, 2007
Last updated in NPPESApril 25, 2013
Mailing address424 W Highway 5, Waconia, MN 55387-1723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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