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TIMOTHY W CHILDERS PA-C NPI 1124078555


NPI Information

NPI: 1124078555
Provider Name: TIMOTHY W CHILDERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS

PECOS Registration: Yes

Address:
75 SHELDON BLVD SE
SUITE 101
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-2420
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Timothy W Childers, PA-C is a medical physician assistant in Grand Rapids, MI with 24 years of experience. Timothy W Childers, PA-C NPI is 1124078555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 SHELDON BLVD SE
SUITE 101
GRAND RAPIDS, MI
ZIP 49503-224
Phone: (616) 391-2420
Fax: (616) 391-4425

The NPI 1124078555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 5/10/2006 and was last updated on 2/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant5601004687MICHIGANNo
2363AM0700XPhysician AssistantMedical5601004687MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.