Individual
TIMOTHY EUGENE OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1041 KIRKPATRICK RD STE 150, BURLINGTON, NC 27215-8068
(336) 538-1888
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-3348
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9300264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214032000
—
WV
01
—
46525
MEDCOST
NC
01
—
5397361
AETNA
—
01
—
5555
PARTNERS
NC
01
—
63640
BCBS
NC
05
—
6963640
—
NC
05
—
7301995
—
VA
Enumeration date
11/28/2005
Last updated
08/25/2021
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