TIMOTHY WAYNE PACE (NPI# 1518148873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518148873 |
| Entity Type | Individual |
| Full Name | TIMOTHY WAYNE PACE |
| Credential | PA |
| Practice Address |
1717 N E St Ste 208 Pensacola FL 32501-6336 |
| Mailing Address |
3342 Bopeg Rd Cantonment FL 32533-7014 |
| Practice Telephone | 8504697771 |
| Mailing Telephone | (850) 572-0296 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9104343 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1939 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA644 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104343 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN | 102978408 | 01 |
| FL | 262936800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 W Leota St, North Platte, NE 691016525 | 3085346655 | 3085346662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255833182 | Timothy Pace | Counselor | 221 Ruthers Rd Ste 101, North Chesterfield, VA 23235-5395 | 2018-03-07 |
| 1649506924 | Timothy C Pace | Dentist | 510 E Walnut St, Dickson, TN 37055-2504 | 2009-10-21 |
| 1538101639 | Timothy Pace | Psychiatry & Neurology | 22 Morton Street, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130 | 2006-06-12 |
| Street Address |
1717 N E ST STE 208 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831210392 | Keena Colleen Risola | Psychiatry & Neurology | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-04-03 |
| 1326304049 | Johnathan Fred Williams | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2012-04-06 |
| 1477878023 | Jonathan Henry Quade | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2010-04-06 |
| 1992909543 | Eddie Nelson Powell II | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891123378 | Donza First Assist | Physician Assistant | 7225 West Fairfield Dr., C-8, Pensacola, FL 32506-3488 | 2013-10-21 |
| 1174505788 | Keith A Berens | Physician Assistant | 1717 North E Street, Suite 422, Pensacola, FL 32501-6339 | 2005-11-18 |
| 1366436362 | Mark William Houston | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2005-09-06 |
| 1558355545 | Anthony A Zembrzuski | Physician Assistant | 1717 N E St Ste 530, Pensacola, FL 32501 | 2005-09-06 |
| 1184171258 | Madeliene Hill | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-09-07 |
| 1497112270 | Sherri Peete | Physician Assistant | 1717 N E St, Pensacola, FL 32501-6339 | 2016-01-25 |
| 1447615554 | Jessica Sinco | Physician Assistant | 1717 N E St, Suite 208, Pensacola, FL 32501-6339 | 2015-12-17 |
| 1538532692 | Kaley Morris | Physician Assistant | 4724 N Davis Hwy, Pensacola, FL 32503 | 2015-11-10 |
| 1841607678 | Brian Scott Lang | Physician Assistant | 1717 N E St Ste 205, Pensacola, FL 32501-6336 | 2014-07-14 |
| 1013337435 | Kelly Demuynck | Physician Assistant | 4012 N 9th Ave, Pensacola, FL 32503-2824 | 2014-04-24 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on TIMOTHY WAYNE PACE.
| 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.