Active NPI
Deardourff Timmons & Associates PA
- Urology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME79809
- Legal business name
- DEARDOURFF TIMMONS & ASSOCIATES PA
- Practice address
- 6420 NW 9TH Blvd
Gainesville, FL 32605-4203 - Phone
- (352) 331-2332
- Fax
- (352) 331-6515
- NPI assigned
- Jul 9, 2006
- Last updated
- May 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher M Cassisi, MD
- Title
- Secretary
- Phone
- (352) 331-2332
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME79809 | FL | Primary |
Addresses
Primary practice location
6420 NW 9TH Blvd
Gainesville, FL 32605-4203
Mailing address
6420 NW 9TH Blvd
Gainesville, FL 32605-4203
Phone (352) 331-2332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0865531 | Deardourff, Timmons & Associates, PA | Certificate of waiver | Jan 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
6420 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 331-2332
6420 NW 9th Blvd
Ste 2
Gainesville, FL 32605
Phone (352) 331-2332
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Gainesville, FL
- NPI 1528084183
-
- Urology Physician
- Gainesville, FL
- NPI 1649293598
-
- Nurse Practitioner
- Gainesville, FL
- NPI 1063237527
-
- Adult Health Nurse Practitioner
- Gainesville, FL
- NPI 1477680593
-
- Anatomic Pathology & Clinical Pathology Physician
- Longwood, FL
- NPI 1861585648
-
- Nurse Practitioner
- Gainesville, FL
- NPI 1225175631
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1447211958
-
- Surgical Physician Assistant
- Tampa, FL
- NPI 1972502714
-
- Physician Assistant
- Ocala, FL
- NPI 1003520321
-
- Urology Physician
- Clarksville, TN
- NPI 1669415667
-
- Acute Care Nurse Practitioner
- Gainesville, FL
- NPI 1942322912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1295768398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 NW 9TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054203",
"telephone_number": "352-331-2332",
"fax_number": "352-331-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 NW 9TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054203",
"telephone_number": "352-331-2332",
"fax_number": "352-331-6515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARDOURFF TIMMONS & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "CASSISI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "352-331-2332",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME79809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.