Timothy S Gormley, MD | |
888 Swift Blvd, Richland, WA 99352-3514 | |
(509) 946-4611 | |
Not Available |
Full Name | Timothy S Gormley |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 888 Swift Blvd, Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043200686 | NPI | - | NPPES |
8487944 | Medicaid | WA | |
274577 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD035310 (District Of Columbia) | Primary |
Entity Name | Moses Lake Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699862813 PECOS PAC ID: 1254235138 Enrollment ID: O20031121000667 |
Entity Name | The Polyclinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
Entity Name | Grant County Hospital District No. 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659445468 PECOS PAC ID: 8921919077 Enrollment ID: O20040116000955 |
Entity Name | Inland Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851352348 PECOS PAC ID: 6608763016 Enrollment ID: O20040301001171 |
Mailing Address | Practice Location Address |
---|---|
Timothy S Gormley, MD Msc 1023, P.o. Box 2300, Spokane, WA 99210 Ph: (509) 946-4611 | Timothy S Gormley, MD 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611 |
Scott Hammersmith, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-943-5616 Fax: 509-943-9272 | |
Edward M Iuliano, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-943-5616 Fax: 509-943-9272 | |
Isaac P Reeve, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4461 | |
Shawn R Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-943-5616 Fax: 509-943-9272 | |
Dwane T Brittain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-943-5616 Fax: 509-943-9272 | |
Dr. Sean Christopher Koskinen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-943-5616 Fax: 509-943-9272 |