Timothy Blackner
Timothy Blackner is registered under Family Practice in Florence, South Carolina. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Washington, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.
- Years since qualifying
- 7
- Licensed in
- WA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Florence, SCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 1245790302 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1245790302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2019 |
| Last updated in NPPES | January 5, 2023 |
| Certification date | January 5, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Providence Health And Services Washington — 480 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Procedures
| Removal of skin lesions | 1–10 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 1,273 |
| Average patient age | 75 |
Practises at
- Capital Medical Center Hospital · Olympia, WA · listed as Columbia Capital Medical Center
- Providence St Peter Hospital Hospital · Olympia, WA
- Providence Centralia Hospital Hospital · Centralia, WA
- Assured Home Health And Hospice Home health agency · Centralia, WA
- Providence At Home With Compassus, Puget Sound South Home health agency · Lacey, WA
Colleagues at Providence Health and Services Washington
- Rachel Ann Ballou, DO Family Medicine Physician · Lacey, WA
- Kathryn A Dean, MD Family Medicine Physician · Olympia, WA
- MS. Nora Gant, ARNP, MN Adult Health Nurse Practitioner · Lacey, WA
- Linda Kay Gooding, RD Nutritionist · Olympia, WA
- Jillian King, ARNP Advanced Practice Midwife · Olympia, WA
- Dr. Kenneth Wayne Kooser, MD Family Medicine Physician · Lacey, WA
- Brianne Jayleen McQuillan, APRN, FNP-C Registered Nurse · Tacoma, WA
- Jessa Louise Ostrom, DO Family Medicine Physician · Lacey, WA
- Dr. Athena Tudino, MD Obstetrics & Gynecology Physician · Olympia, WA
- Justin Daniel Wheeler, MD Family Medicine Physician · Olympia, WA
- Mrs. Nicole Anne Woodard, PA-C Physician Assistant · Olympia, WA
- Mohammad H. Yavari Rad, MD Physical Medicine & Rehabilitation Physician · Marshfield, WI
Other providers in Florence
-
Smriti Kaur Aulakh
Student / training record Florence, SC
-
Dr. Jordanna Lynn Baker, DPM
Student / training record Florence, SC
-
Dr. Valery Christian Batimba Bessi, MD
Student / training record Florence, SC
-
Riteeka Kumari Bhimani
Student / training record Florence, SC
-
Rayan Borji
Student / training record Florence, SC
-
Courtney Kathryn Brown, MD
Student / training record Florence, SC
-
Hadi Chaaban
Student / training record Florence, SC
-
Dr. Sree Rupa Chalasani, MD
Student / training record Florence, SC