MR. TIMOTHY PAUL GACIOCH PA NPI 1356329817

NPI Information

NPI: 1356329817
Provider Name: MR. TIMOTHY PAUL GACIOCH, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4300 PERIMETER RD
(341ST MED GROUP) BLDG 2040, ROOM S156
MALMSTROM AFB, MT
ZIP 59402
Phone: (406) 731-2928
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MR. Timothy Paul Gacioch, PA is a medical physician assistant in Malmstrom Afb, MT. MR. Timothy Paul Gacioch, PA NPI is 1356329817. 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:

4300 PERIMETER RD
(341ST MED GROUP) BLDG 2040, ROOM S156
MALMSTROM AFB, MT
ZIP 59402-001
Phone: (406) 731-2928

The NPI 1356329817 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 1/5/2006 and was last updated on 3/6/2012.

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			Yes

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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