NPIMap

Organization Active NPI

Timothy a Brown MD PC

  • Dermatology Physician
  • Lyndora, PA
National Provider Identifier
1346355922
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD026005E Issued in PA
Legal business name
TIMOTHY A BROWN MD PC
Practice address
6 Chesapeake St
Suite 205
Lyndora, PA 16045
Phone
(724) 282-0404
Fax
(724) 282-9876
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Alden Brown, MD
Title
President
Phone
(724) 282-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X MD026005E PA Primary

Addresses

Primary practice location

6 Chesapeake St
Suite 205
Lyndora, PA 16045

Mailing address

6 Chesapeake St
Suite 205
Lyndora, PA 16045
Phone (724) 282-0404

Other identifiers 1

IdentifierTypeStateIssuer
DF7372OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

6 Chesapeake St
Ste 205
Lyndora, PA 16045
Phone (724) 282-0404

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208044800000",
    "number": "1346355922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESAPEAKE ST",
            "address_2": "SUITE 205",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "16045",
            "telephone_number": "724-282-0404",
            "fax_number": "724-282-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESAPEAKE ST",
            "address_2": "SUITE 205",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "16045",
            "telephone_number": "724-282-0404",
            "fax_number": "724-282-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A BROWN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-282-0404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD026005E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7372",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndora, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.