TIMOTHY MERRILL LUND PA-C NPI 1306572318

NPI Information

NPI: 1306572318
Provider Name: TIMOTHY MERRILL LUND, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9165 W THUNDERBIRD RD STE 200
PEORIA, AZ
ZIP 85381
Phone: (623) 285-1120
Get Directions

Timothy Merrill Lund, PA-C is a medical physician assistant in Peoria, AZ with 2 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:

9165 W THUNDERBIRD RD STE 200
PEORIA, AZ
ZIP 85381-847
Phone: (623) 285-1120

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 7/20/2023.

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
1	363AM0700X	Physician Assistant	Medical	9729	ARIZONA	Yes

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
1	9729	OTHER	ARIZONA	ARIZONA STATE PHYSICIAN ASSISTANT LICENSE NUMBER
2	9729	OTHER	ARIZONA	ARIZONA 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: 4/28/2024

NPI Synchronization or Removal

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