MEDICARE: TIMOTHY JAMES DURKIN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PS0010X	Sports Medicine (Emergency Medicine) Physician	CDRH.0055714	CO
2	207P00000X	Emergency Medicine Physician	OS14541	FL
3	207PS0010X	Sports Medicine (Emergency Medicine) Physician	A-1501-09	NM
4	207PS0010X	Sports Medicine (Emergency Medicine) Physician	166042	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JA162Z	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700078896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JAMES DURKIN DO

Provider Business Mailing Address
First Line	:	1510 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-4756
Country	:	US
Telephone Number	:	406-218-4945
Fax Number	:	406-218-4869

Provider Business Practice Location Address
First Line	:	1510 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-4756
Country	:	US
Telephone Number	:	406-218-4945
Fax Number	:	406-218-4869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	04/07/2026

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Directions to “ TIMOTHY JAMES DURKIN DO” Practice Location

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