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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: August 16, 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
Phone(606) 248-2739
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
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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 9

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

CHARLES A MOORE MD
Internal Medicine
123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965
Bell County (606) 248-0090
LYNDA LYNN BROWNING ANP
Nurse Practitioner (Adult Health)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-0090
DRS ROSE AND THOMAS
Surgery
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-7509
BRUCE T. WILSON,D.M.D., PSC
Dentist (Oral and Maxillofacial Surgery)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-1808
MRS. MARCINIA MICHELLE BAILEY APRN
Nurse Practitioner (Family)
123 N 19TH ST, SUITE A201
MIDDLESBORO, KY 40965
Bell County (606) 248-0090
MR. ROBERT LEE THOMAS IV MD
Surgery
123 N 19TH ST, SUITE B301
MIDDLESBORO, KY 40965
Bell County (606) 248-7509
CHARLES A MOORE
Clinic/Center
123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965
Bell County (606) 248-7630
AIMEE NICOLE BROCK A.P.R.N., F.N.P.-B.C
Nurse Practitioner (Family)
123 N 19TH ST
MIDDLESBORO, KY 40965
Bell County (606) 248-2739

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 L. Gardner, Dpm,pc's NPI number?

The NPI number for Timothy L. Gardner, Dpm,pc is 1225220379. It was assigned to this organization in the NPPES registry on August 13, 2007. The provider is doing business as Middlesboro Foot & Ankle Clinic.

Where is Timothy L. Gardner, Dpm,pc located?

Timothy L. Gardner, Dpm,pc is located at 123 N 19th St, Middlesboro, KY 40965. The listed phone number is (606) 248-2739.

What is Timothy L. Gardner, Dpm,pc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Timothy L. Gardner, Dpm,pc was last updated on October 17, 2011. 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.