MR. TIMOTHY J MIDURA PA C NPI 1306954987

NPI Information

NPI: 1306954987
Provider Name: MR. TIMOTHY J MIDURA, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
566 EAST ROBINSON AVE
STE 400
BARBERTON, OH
ZIP 44203
Phone: (330) 753-1015
Get Directions

MR. Timothy J Midura, PA C is a medical physician assistant in Barberton, OH. MR. Timothy J Midura, PA C NPI is 1306954987. 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:

566 EAST ROBINSON AVE
STE 400
BARBERTON, OH
ZIP 44203
Phone: (330) 753-1015
Fax: (330) 753-3103

The enumeration date for this NPI number is 8/25/2006 and was last updated on 6/1/2010.

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	207P00000X	Emergency Medicine		50.000968	OHIO	No
2	363AM0700X	Physician Assistant	Medical	50000968	OHIO	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
1	M1PA20072	MEDICARE ID-TYPE UNSPECIFIED
2	PA20075	MEDICARE PIN	OHIO
3	P74317	MEDICARE UPIN

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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