Timothy W Atkins, DSC, PA-C

Individual provider Active NPI Surgical Physician Assistant · Tripler AMC, HI

NPI 1780955419 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1780955419
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
Practice address
1 Jarrett White Rd
Tripler AMC, HI 96859-5001
Phone
(808) 433-2196
NPI assigned
Jan 26, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tripler AMC, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler AMC, HI 96859-5001

Other providers in Tripler AMC, HI

All providers in Tripler AMC, HI · Surgical Physician Assistant in Hawaii

Sources for this page

Verify at the official NPI Registry.