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Tim Shride

Podiatrist Prosthetist

3800 Watt Ave Ste 151
Sacramento , California 95821-2688

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Tim Shride

Podiatrist Prosthetist

3800 Watt Ave Ste 151
Sacramento , California 95821-2688

Write a Review Save Call

Tim Shride

Podiatrist Prosthetist

3800 Watt Ave Ste 151
Sacramento , California 95821-2688

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Prosthetist

Languages spoken

  • English

Location

3800 Watt Ave Ste 151 Sacramento , California 95821-2688

First Address

  • Tim Shride
  • 10717 126th Pl Ne
  • Kirkland, WA
  • Zip : 98033-4756
  • Phone :

Second Address

  • Tim Shride
  • 3800 Watt Ave Ste 151
  • Sacramento, CA
  • Zip : 95821-2688
  • Phone : (916) 482-1535

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FAQs


Where did Tim Shride attend graduate school?

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Where did Tim Shride do his residency?

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Where did Tim Shride do his fellowship?

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Is Tim Shride board certified?

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What type of doctor is Tim Shride

Prosthetist

In what state does Tim Shride practice in?

California

Where is Tim Shride ’s practice located?

3800 Watt Ave Ste 151 , Sacramento, California, 95821-2688

What is Tim Shride ’s gender?

Male

Is Tim Shride a sole practitioner?

No

Is Tim Shride accepting new patients?

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What languages does Tim Shride speak?

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Does Tim Shride accept insurance?

Yes, Tim Shride accepts insurance

Does Tim Shride offers telemedicine?

Tim Shride has not indicated if he offers telemedicine

What is Tim Shride ’s professional license number?

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What is Tim Shride ’s NPI number?

1043833619

Does Tim Shride have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 213E00000X Podiatrist
N 222Z00000X Podiatrist
Y 224P00000X Prosthetist

National Provider Identifier

NPI 1043833619
Provider Name Tim Shride
First Address Kirkland, WA 98033-4756
Second Address Sacramento, CA 95821-2688
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/05/2020
Last Update Date 18/05/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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