MR. TIMOTHY D. KRENIK PA-C NPI 1669451852

NPI Information

NPI: 1669451852
Provider Name: MR. TIMOTHY D. KRENIK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ROBBEN R GINGERY MD LLC

PECOS Registration: Yes

Address:
8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 858-1222
Get Directions

MR. Timothy D. Krenik, PA-C is a medical physician assistant in Albuquerque, NM with 21 years of experience. MR. Timothy D. Krenik, PA-C NPI is 1669451852. 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:

8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE, NM
ZIP 87113-761
Phone: (505) 858-1222
Fax: (505) 858-1224

The NPI 1669451852 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 1/16/2006 and was last updated on 12/18/2009.

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	PA2003-0018	NEW MEXICO	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	Q00189	MEDICARE UPIN	NEW MEXICO
2	64782841	MEDICAID	NEW MEXICO
3	NM302497	MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »