TIMOTHY DESKINS (NPI# 1366833576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366833576 |
| Entity Type | Individual |
| Full Name | TIMOTHY DESKINS |
| Credential | PA-C |
| Practice Address |
122 Nick Savas Dr Logan WV 25601-3468 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3047528081 |
| Practice Fax Number | 3047528083 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1813 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
01813 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5348 N Fork Rd, Chapmanville, WV 255085361 | 3047851544 | |
| 7400 Lynn Ave, Hamlin, WV 255231138 | 3048245806 | 3048245804 |
| Street Address |
122 NICK SAVAS DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717250 | Martin L. Codispoti | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2011-10-21 |
| 1336648245 | Rikki Lynn Evans | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2018-02-06 |
| 1881969475 | Rafael Modesto Rodighiero | Physician Assistant | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285298968 | Marissa Weeks | Physician Assistant | 16 W 1285 S, Logan, UT 84321-8549 | 2019-04-27 |
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1003095373 | Adrienne Mcmaster | Physician Assistant | 2380 N 400 E Ste B, Logan, UT 84341-1756 | 2007-11-02 |
| 1538166855 | Ryan J Garfield | Physician Assistant | 1281 N 600 E, Logan, UT 84341-6988 | 2005-07-01 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1609360940 | Benjamin D Adkins | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-20 |
| 1477067775 | Crystal Anne Burtis | Physician Assistant | 1325 N 600 E Ste 101, Logan, UT 84341-6743 | 2017-11-22 |
| 1861845638 | Chelsea Mackall | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-07-18 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
| Find all providers in LOGAN | ||||
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| 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.