MEDICARE: JAMES M. TIMONEY D.O.

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	207X00000X	Orthopaedic Surgery Physician	1430	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	DX3182	OTHER	NEW MEDICARE PTAN
6	MM0716	OTHER	MEDICARE CLINIC FACILITY
9	200020419	OTHER	RR MEDICARE
10	201017	OTHER	MEDICARE ASC FACILITY
12	MM4887	OTHER	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	006985	OTHER		ANTHEM
3	0378600001	OTHER		DMERC
4	M4234	OTHER		CIGNA
5	100294000	OTHER		USPS WC
7	010416156	OTHER		TRAVELERS/CORE/MEDNET
8	1044480	OTHER		AETNA
11	E08891	OTHER		HARVARD
13	304050099	OTHER	ME	MAINECARE

General Provider Information

NPI Number	:	1447255682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M. TIMONEY D.O.

Provider Business Mailing Address
First Line	:	690 MINOT AVE
Second Line	:	STE 1
City	:	AUBURN
State	:	ME
Zip	:	04210-3922
Country	:	US
Telephone Number	:	207-783-1328
Fax Number	:	207-795-0260

Provider Business Practice Location Address
First Line	:	690 MINOT AVE
Second Line	:	STE 1
City	:	AUBURN
State	:	ME
Zip	:	04210-3922
Country	:	US
Telephone Number	:	207-783-1328
Fax Number	:	207-795-0260

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	09/19/2012

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04210-3922

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1396740544 — DR. PATRICK J. FALLON M.D.
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690 MINOT AVE , STE 1
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04210-3922

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1477558278 — DR. DAVID G. BROWN M.D.
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690 MINOT AVE , STE 1
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04210-3922

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1063412211 — DR. MATTHEW MURRAY MCLAUGHLIN MD
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690 MINOT AVE , SUITE 1
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Directions to “ JAMES M. TIMONEY D.O.” Practice Location

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