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NPI Code Detail

MEDICARE: TIMOTHY JAMES JOOS MD

MEDICARE: TIMOTHY JAMES JOOS MD
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
1207R00000XInternal Medicine PhysicianMD00043045WA
2208000000XPediatrics PhysicianMD00043045WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740265735
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY JAMES JOOS MD
Provider Business Mailing Address
First Line : 905 SPRUCE ST STE 300
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2474
Country : US
Telephone Number : 206-548-3114
Fax Number : 206-762-6355
Provider Business Practice Location Address
First Line : 4400 37TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1609
Country : US
Telephone Number : 206-461-6957
Fax Number : 206-461-7810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 11/03/2011

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Directions to “ TIMOTHY JAMES JOOS MD” Practice Location

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