Active NPI
David Paul Timme, PA-C
- Physician Assistant
- Harrisburg, PA
National Provider Identifier
1194947218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA-000886-L
- Practice address
- 1100 S Cameron St
Harrisburg, PA 17104-2547 - Phone
- (717) 238-7662
- Fax
- (717) 238-7894
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA-000886-L | PA | Primary |
Addresses
Primary practice location
1100 S Cameron St
Harrisburg, PA 17104-2547
Mailing address
151 Woodside CT
Annville, PA 17003-1950
Phone (717) 867-5015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1056421 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA-000886-L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Affiliated Services, Inc | Past | Accepting new patients | |
| East Shore Psychiatric Associates PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Harrisburg, PA
- NPI 1225125479
-
- Psychiatry Physician
- Harrisburg, PA
- NPI 1467469544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1194947218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 WOODSIDE CT",
"city": "ANNVILLE",
"state": "PA",
"postal_code": "170031950",
"telephone_number": "717-867-5015",
"fax_number": "717-238-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S CAMERON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171042547",
"telephone_number": "717-238-7662",
"fax_number": "717-238-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMME",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA-000886-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1056421",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.