MR. TIMOTHY M RAYCOB (PAC) – Physician Assistant, NPI 1174594808

Physician Assistant

MR. TIMOTHY M RAYCOB (PAC) is a healthcare provider. based in Bartlesville, Oklahoma. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA04283 (TX). The NPI Number for MR. TIMOTHY M RAYCOB (PAC) is 1174594808

Main info

Male

Name

MR. TIMOTHY M RAYCOB (PAC)

NPI

1174594808

Phone

(918) 661-6811

Address

411 S KEELER, AB-02-234C

Enumeration Date

31 January 2006

Last Update Date

1 August 2012

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness75

Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MR. TIMOTHY M RAYCOB (PAC)

411 S KEELER, AB-02-234C
PHILLIPS 66 HEALTH SERVICES
BARTLESVILLE, OK 740036670
Phone: (918) 661-6811
Fax: (918) 977-8005
Type: Location
402452 W 2200 RD
BARTLESVILLE, OK 740060448
Phone: (832) 477-0379
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74003)

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Reviews

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Frequently asked questions

What is the standard ID for MR. TIMOTHY M RAYCOB (PAC) in the U.S.?

In the U.S., MR. TIMOTHY M RAYCOB (PAC) is identified by NPI 1174594808.

Is MR. TIMOTHY M RAYCOB (PAC)'s NPI status active today?

Active status means MR. TIMOTHY M RAYCOB (PAC)'s NPI record is not deactivated in the public file.

What does the directory say MR. TIMOTHY M RAYCOB (PAC) does?

Insurance directories may phrase it differently, but here MR. TIMOTHY M RAYCOB (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.

What geographic area is tied to MR. TIMOTHY M RAYCOB (PAC)?

MR. TIMOTHY M RAYCOB (PAC) is associated with Bartlesville, Oklahoma in the same public data insurers reference.

Who maintains MR. TIMOTHY M RAYCOB (PAC)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.