TIMOTHY GERARD BOARD PA NPI 1699796078

NPI Information

NPI: 1699796078
Provider Name: TIMOTHY GERARD BOARD, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
454 MAPLE AVE
SARATOGA SPRINGS, NY
ZIP 12866
Phone: (518) 587-1141
Get Directions

Timothy Gerard Board, PA is a surgical physician assistant in Saratoga Springs, NY with 31 years of experience. Timothy Gerard Board, PA NPI is 1699796078. 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:

454 MAPLE AVE
SARATOGA SPRINGS, NY
ZIP 12866-532
Phone: (518) 587-1141
Fax: (518) 587-1152

The NPI 1699796078 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 7/21/2006 and was last updated on 4/18/2012.

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	363AS0400X	Physician Assistant	Surgical	004631	NEW YORK	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	Other Provider Identifier Issuer
1	709221	OTHER	NEW YORK	MVP
2	000405957003	OTHER	NEW YORK	BLUE SHIELD
3	R54788	MEDICARE UPIN	NEW YORK
4	050510000097	OTHER	NEW YORK	FIDELIS CARE
5	CC6109	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
6	970016493	OTHER	NEW YORK	RAILROAD MEDICARE

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

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 »