TIMOTHY M PEASAK DO PLLC NPI 1669643078

NPI Information

  • NPI: 1669643078
  • Provider Name: TIMOTHY M PEASAK DO PLLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: ELKINS EXPRESS CARE
  • Address: 1513 HARRISON AVE
    STE. 18
    ELKINS, WV
    ZIP 26241
  • Phone: (304) 637-0180

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NPI Details

TIMOTHY M PEASAK DO PLLC is an emergency medicine in Elkins, WV. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. TIMOTHY M PEASAK DO PLLC NPI is 1669643078. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elkins Express Care.

The provider's business location address is:

1513 HARRISON AVE
STE. 18
ELKINS, WV
ZIP 26241-356
Phone: (304) 637-0180
Fax: (304) 637-1004

The provider's authorized official is Timothy Michael Peasak .
The authorized official title is Owner and has the following contact phone number (304) 637-0180.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 9/5/2014.

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
1207P00000XEmergency Medicine1942WEST VIRGINIAYes

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
16683950001MEDICARE NSCWEST VIRGINIA

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: 11/21/2025

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