TIMOTHY JOHN STODDARD
NPI 1811524283
Student in an Organized Health Care Education/Training Program in Wauwatosa, WI
About Timothy John Stoddard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JOHN STODDARD (NPI 1811524283) is an individual student in an organized health care education/training program in Wauwatosa, Wisconsin and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy John Stoddard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
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 Stoddard's NPI number?
The NPI number for Timothy Stoddard is 1811524283. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Timothy Stoddard located?
Timothy Stoddard practices at 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226. The listed phone number is (414) 955-1000.
What is Timothy Stoddard's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Timothy Stoddard enrolled in Medicare?
Yes. Timothy Stoddard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Timothy Stoddard was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Timothy John Stoddard · NPI 1811524283
Student in an Organized Health Care Education/Training Program provider in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1811524283 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1155 N MAYFAIR RD STE T2600, Wauwatosa, WI 53226-3464
- **Phone:** (414) 955-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811524283) · Data from the CMS NPPES public registry.