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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: August 16, 2026.

About Mr. Timothy M Raycob Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY M RAYCOB PAC (NPI 1174594808) is an individual physician assistant in Bartlesville, Oklahoma, licensed in Oklahoma (2136) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174594808
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY M RAYCOBCredential: PAC
Location Address411 S KEELER, AB-02-234C, PHILLIPS 66 HEALTH SERVICESBartlesville, OK 74003-6670
Mailing Address402452 W 2200 RdBartlesville, OK 74006-0448 · (832) 477-0379
Phone(918) 661-6811
Fax(918) 977-8005
Sole ProprietorNo
Enumeration DateJanuary 31, 2006
Last NPPES UpdateAugust 1, 2012
✔ NPI 1174594808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OK · 2136✔ Licensed in TX · PA04283
Definition
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.
411 S KEELER, AB-02-234C, Bartlesville, OK 74003
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Raycob's NPI number?

The NPI number for Timothy Raycob is 1174594808. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Timothy Raycob located?

Timothy Raycob practices at 411 S Keeler, Ab-02-234c Phillips 66 Health Services, Bartlesville, OK 74003. The listed phone number is (918) 661-6811.

What is Timothy Raycob's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Raycob was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.