Provider Demographics
NPI:1093865438
Name:POATE, TIMOTHY J (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:J
Last Name:POATE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-788-1620
Mailing Address - Fax:303-788-4097
Practice Address - Street 1:5570 DTC PKWY STE 200
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3187
Practice Address - Country:US
Practice Address - Phone:303-925-4960
Practice Address - Fax:303-925-4961
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2017-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO37566207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO98550845Medicaid
COH142577Medicare UPIN
COP00996403Medicare PIN
COCOA106009Medicare PIN