TIMOTHY JARED RESEIGH PA NPI 1174776355

NPI Information

  • NPI: 1174776355
  • Provider Name: TIMOTHY JARED RESEIGH, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 181 W MEADOW DR STE 400
    VAIL, CO
    ZIP 81657
  • Phone: (970) 476-1100

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NPI Details

Timothy Jared Reseigh, PA is a surgical physician assistant in Vail, CO with 18 years of experience. Timothy Jared Reseigh, PA NPI is 1174776355. 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:

181 W MEADOW DR STE 400
VAIL, CO
ZIP 81657-058
Phone: (970) 476-1100
Fax: (970) 479-5835

The NPI 1174776355 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.

  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 10/31/2008 and was last updated on 4/2/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical2692COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141126564MEDICAIDCOLORADO

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: 11/21/2025

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