TIMOTHY PECORARO REGISTERED NURSE NPI 1215736251

NPI Information

  • NPI: 1215736251
  • Provider Name: TIMOTHY PECORARO, REGISTERED NURSE
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 3551 ROGER BROOKE DR
    FORT SAM HOUSTON, TX
    ZIP 78234
  • Phone: (301) 452-3045

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NPI Details

Timothy Pecoraro, REGISTERED NURSE is a critical care medicine registered nurse in Fort Sam Houston, TX. Timothy Pecoraro, REGISTERED NURSE NPI is 1215736251. 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:

3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234-504
Phone: (301) 452-3045

The enumeration date for this NPI number is 3/12/2025 and was last updated on 3/12/2025.

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
1163WC0200XRegistered NurseCritical Care MedicineR262153MARYLANDNo
2163WC0200XRegistered NurseCritical Care MedicineRN748856PENNSYLVANIAYes

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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