MR. TIMOTHY M RAYCOB PAC
NPI 1174594808
Physician Assistant in Bartlesville, OK

Active since January 31, 2006
411 S KEELER, AB-02-234C, PHILLIPS 66 HEALTH SERVICES, BARTLESVILLE, OK 74003(918) 661-6811(918) 977-8005 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant

About TIMOTHY RAYCOB

This page provides the complete NPI Profile along with additional information for Timothy Raycob, a primary care provider established in Bartlesville, Oklahoma with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1174594808 assigned on January 2006. The practitioner's primary taxonomy code is 363A00000X with license number 2136 (OK). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1174594808 Verify this NPI
Provider Name
MR. TIMOTHY M RAYCOB PAC
Gender
Male
Entity Type
Individual
Location Address
411 S KEELER, AB-02-234C PHILLIPS 66 HEALTH SERVICES BARTLESVILLE, OK 74003
Location Phone
(918) 661-6811
Location Fax
(918) 977-8005
Mailing Address
402452 W 2200 RD BARTLESVILLE, OK 74006
Mailing Phone
(832) 477-0379
Is Sole Proprietor?
No
Enumeration Date
01-31-2006
Last Update Date
08-01-2012
Code Navigator

A primary care provider (PCP) like Timothy Raycob sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2136
License State
OK
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA04283 (TX)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174594808, enumerated as an "individual" on January 31, 2006.

The provider is located at 411 S KEELER, AB-02-234C PHILLIPS 66 HEALTH SERVICES BARTLESVILLE, OK 74003 and the phone number is (918) 661-6811.

Physician Assistant with taxonomy code 363A00000X.