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NPI · 1730167271 · NPPES-sourced

Mr. Timothy Black PA

ActiveSurgical Physician Assistant
NPI Number
1730167271
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(360) 254-6161
Primary practice line
Last Updated
Enumerated
Primary practice addressWA · 98664
200 Ne Mother Joseph Pl, Suite 110Vancouver, WA 98664
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About this NPIWhat this record shows.

NPI 1730167271 is registered to Mr. Timothy Black PA, a Surgical Physician Assistant practising at 200 Ne Mother Joseph Pl, Suite 110 in Vancouver, Washington. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Timothy Black PA has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Timothy Black PA accepts. To confirm in-network status with your specific health plan, contact Mr. Timothy Black PA directly at (360) 254-6161.

Frequently asked

Yes. NPI 1730167271 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 254-6161.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Timothy Black PA is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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