Provider Demographics
NPI:1649201369
Name:HOSKINS, TIMOTHY PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PATRICK
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 CANTERBURY DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2386
Mailing Address - Country:US
Mailing Address - Phone:785-623-5806
Mailing Address - Fax:785-623-2343
Practice Address - Street 1:2214 CANTERBURY DR
Practice Address - Street 2:SUITE 210
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2386
Practice Address - Country:US
Practice Address - Phone:785-623-5806
Practice Address - Fax:785-623-2343
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS30558207P00000X
KS04-30558207V00000X
AZ44323207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200302670EMedicaid
AZ592846Medicaid
KS200302670CMedicaid
KS200302670CMedicaid
KSI52127Medicare UPIN
KS111391020Medicare PIN
I52127Medicare UPIN
KS110296008Medicare PIN
KS200302670EMedicaid