Provider Demographics
NPI:1689961484
Name:DORIUS, TIMOTHY HANCOCK (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:HANCOCK
Last Name:DORIUS
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 1:8303 DODGE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4108
Mailing Address - Country:US
Mailing Address - Phone:402-354-5860
Mailing Address - Fax:402-324-2350
Practice Address - Street 1:8303 DODGE ST STE 225
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4108
Practice Address - Country:US
Practice Address - Phone:402-354-5860
Practice Address - Fax:402-324-2350
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0853207R00000X, 207RH0003X
NE27582207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200714020AMedicaid
TXP01887159OtherRAILROAD
TX371162401Medicaid