Individual provider Active NPI

Joseph John Timmes Jr., M.D., F.A.C.S.,LTD

  • Ophthalmology Physician
  • Annandale, VA
National Provider Identifier
1841298965
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101020954 Issued in VA
Practice address
3301 Woodburn Rd
204
Annandale, VA 22003-1229
Phone
(703) 560-7797
Fax
(703) 560-7897
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101020954 VA Primary

Addresses

Primary practice location

3301 Woodburn Rd
204
Annandale, VA 22003-1229

Mailing address

3301 Woodburn Rd
204
Annandale, VA 22003-1229
Phone (703) 560-7797

Other identifiers 1

IdentifierTypeStateIssuer
038592OtherVAPTAN

Other names 1

  • Joseph John Timmes Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101020954VAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1841298965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD",
            "address_2": "204",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-560-7797",
            "fax_number": "703-560-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD",
            "address_2": "204",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031229",
            "telephone_number": "703-560-7797",
            "fax_number": "703-560-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMES",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., F.A.C.S.,LTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101020954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "038592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "TIMMES",
            "middle_name": "JOHN",
            "suffix": "JR.",
            "credential": "M.D., F.A.C.S., LTD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.