TIMOTHY MERRILL LUND PA-C NPI 1306572318

NPI Information

  • NPI: 1306572318
  • Provider Name: TIMOTHY MERRILL LUND, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8141 W CAMELBACK RD # B-101
    PHOENIX, AZ
    ZIP 85033
  • Phone: (480) 677-8282

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NPI Details

Timothy Merrill Lund, PA-C is a medical physician assistant in Phoenix, AZ with 4 years of experience. Timothy Merrill Lund, PA-C NPI is 1306572318. 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:

8141 W CAMELBACK RD # B-101
PHOENIX, AZ
ZIP 85033-050
Phone: (480) 677-8282
Fax: (480) 535-0962

The NPI 1306572318 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 enumeration date for this NPI number is 8/1/2022 and was last updated on 7/3/2024.

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
1363AM0700XPhysician AssistantMedical9729ARIZONAYes

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
19729OTHERARIZONAARIZONA STATE PHYSICIAN ASSISTANT LICENSE NUMBER
29729OTHERARIZONAARIZONA STATE LICENSE - ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS

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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