MR. TIMOTHY J. CAMASTA (NPI# 1104885615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104885615 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J. CAMASTA |
| Credential | PAC |
| Practice Address |
1853 Oconnell Blvd Bldg 1056 Deployment Health Clinic Fort Carson CO 80913-4055 |
| Practice Telephone | 7195245559 |
| Practice Fax Number | 7195244855 |
| Mailing Telephone | 7195245559 |
| Mailing Fax Number | 7195244855 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA12294 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2353 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1853 OCONNELL BLVD BLDG 1056 DEPLOYMENT HEALTH CLINIC |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| 1154759611 | Patrick James Goble | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2013-10-21 |
| 1508101627 | Matthew Ryan Hicks | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2012-11-29 |
| 1114024445 | Gregory Joe Robinson | Physician Assistant | Evans Army Community Hospital (each) Usa Meddac, 1650 Cochrane Cir, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-09-20 |
| 1255308268 | Timothy John Coffman Sr. | Physician Assistant | Evans Army Community Hospital (each) Usa Meddac, 1650 Cochrane Cir, Attn: Credentials Office, Fort Carson, CO 80913-4604 | 2006-03-08 |
| 1518930460 | Stephen Beard | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2006-02-10 |
| 1134108509 | Ronald Anthony Deutsch | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4603 | 2006-01-12 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MR. TIMOTHY J. CAMASTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.