TIMOTHY JOSEPH PAMPUSCH PAC NPI 1518021948

NPI Information

NPI: 1518021948
Provider Name: TIMOTHY JOSEPH PAMPUSCH, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7422
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Timothy Joseph Pampusch, PAC is a surgical physician assistant in Minneapolis, MN. Timothy Joseph Pampusch, PAC NPI is 1518021948. 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:

909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455-800
Phone: (612) 672-7422

The NPI 1518021948 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 12/20/2006 and was last updated on 10/22/2018.

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	363AS0400X	Physician Assistant	Surgical	10884	MINNESOTA	Yes
2	363AS0400X	Physician Assistant	Surgical	536	ALASKA	No
3	363AS0400X	Physician Assistant	Surgical	3505-23	WISCONSIN	No

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: 11/14/2023

NPI Synchronization or Removal

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