Timothy M Peasak DO PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1942 Issued in WV

Legal business name

TIMOTHY M PEASAK DO PLLC

Doing business as

elkins express care

Practice address

1513 Harrison Ave
Ste. 18
Elkins, WV 26241-3356

Phone

(304) 637-0180

Fax

(304) 637-1004

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Timothy Michael Peasak, DO

Title

Owner

Phone

(304) 637-0180

Specialties & licenses 1

Addresses

Other names 1

• elkins express care Doing business as

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1669643078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "address_2": "STE. 18",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-637-0180",
            "fax_number": "304-637-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HARRISON AVE",
            "address_2": "STE. 18",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413356",
            "telephone_number": "304-637-0180",
            "fax_number": "304-637-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M PEASAK DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "PEASAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-637-0180",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "elkins express care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Marie Thompson
• Margaret G Thorne-Church, FNP
• Alexandria Renee Thorne, LPN
• Katrina Thorne
• Alexandra Tice
• Brenda Tincher
• Kelsey Tincher
• Veronica Tingler
• Rebecca A Tolson
• Kimberly Louise Tompkins

• Emergency Medicine Physician in Elkins, WV
• Providers in Elkins, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.