MIDDLESBORO FOOT & ANKLE CLINIC
NPI 1225220379
Podiatrist - Foot & Ankle Surgery in Middlesboro, KY

Active since August 13, 2007
123 N 19TH ST, MIDDLESBORO, KY 40965(606) 248-2739(606) 248-2730 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Middlesboro Foot & Ankle Clinic NPPES

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

MIDDLESBORO FOOT & ANKLE CLINIC (NPI 1225220379) is a healthcare organization registered as a foot & ankle surgery in Middlesboro, Kentucky and active in the NPI registry since August 2007. The organization lists Timothy Logan Gardner, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1225220379
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTIMOTHY L. GARDNER, DPM,PC
Location Address123 N 19TH STMiddlesboro, KY 40965-2865
Mailing Address10810 Parkside Dr Ste 202Knoxville, TN 37934-1981 · (865) 218-7474 · Fax (865) 218-7475
Fax(606) 248-2730
Organization SubpartNo
Authorized OfficialTimothy Logan GardnerPodiatrist · (606) 248-2739
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 17, 2011
NPI 1225220379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in KY · 30924
123 N 19TH ST, Middlesboro, KY 40965

Other Names 1

Doing Business AsMiddlesboro Foot & Ankle Clinic

Other Identifiers 9

Medicaid3351921TN
Medicaid80002017KY
Medicare NSC4138170001KY
Medicare NSC4138170001TN
Medicare PIN3351921TN
Other0191729TN · Bcbs
Medicare UPINU18698
Other000000053556KY · Bcbs
Medicare PIN2012301KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965
Surgery
123 N 19TH ST
MIDDLESBORO, KY 40965
Dentist (Oral and Maxillofacial Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Surgery
123 N 19TH ST, SUITE B301
MIDDLESBORO, KY 40965
Nurse Practitioner (Adult Health)
123 N 19TH ST
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
123 N 19TH ST, SUITE A201
MIDDLESBORO, KY 40965
Durable Medical Equipment & Medical Supplies
123 N 19TH ST
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
123 N 19TH ST
MIDDLESBORO, KY 40965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225220379, enumerated as an "organization" on August 13, 2007.

The provider is located at 123 N 19TH ST MIDDLESBORO, KY 40965 and the phone number is (606) 248-2739.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.