Provider Demographics
NPI:1992900781
Name:CAWLFIELD, TIMOTHY JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOSEPH
Last Name:CAWLFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7702
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0702
Mailing Address - Country:US
Mailing Address - Phone:970-663-2742
Mailing Address - Fax:970-667-0847
Practice Address - Street 1:115 E RIVERWALK
Practice Address - Street 2:UNIT 200
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3308
Practice Address - Country:US
Practice Address - Phone:719-543-8346
Practice Address - Fax:970-667-0847
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00935655OtherRAIL ROAD MEDICARE
CO18458513Medicaid
COP00935655OtherRAIL ROAD MEDICARE
CO18458513Medicaid