Timothy St John, DPM is a
Podiatrist based in Houghton Lake, Michigan. Timothy St John is licensed to practice in Michigan (license number TS001531) and his current practice location is
3179 W Houghton Lake Dr, Houghton Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(989) 366-8332.
NPI number for Timothy St John is 1871570416 and his current mailing address is 4310 Leonard St Nw, Suite 103, Walker, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871570416.
Healthcare Provider's Profile
Full Name | Timothy St John |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 3179 W Houghton Lake Dr, Houghton Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871570416
- Provider Enumeration Date: 12/24/2005
- Last Update Date: 01/04/2010
Medical Identifiers
Medical identifiers for Timothy St John such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871570416 | NPI | - | NPPES |
3119585 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | TS001531 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy St John is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Timothy St John, DPM 4310 Leonard St Nw, Suite 103, Walker, MI 49534-8447 Ph: (616) 453-6329 | Timothy St John, DPM 3179 W Houghton Lake Dr, Houghton Lake, MI 48629-9256 Ph: (989) 366-8332 |
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