TIMOTHY A WALLNER (NPI# 1679661854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679661854 |
| Entity Type | Individual |
| Full Name | TIMOTHY A WALLNER |
| Credential | P.A. |
| Practice Address |
38035 Medical Center Ave Zephyrhills FL 33540-1384 |
| Mailing Address |
Po Box 2709 Zephyrhills FL 33539-2709 |
| Practice Telephone | 8137881400 |
| Practice Fax Number | 8137887691 |
| Mailing Telephone | 8137881400 |
| Mailing Fax Number | 8137887691 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0003396 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL LICENSE | PA9104784 | 01 |
| Street Address |
38035 MEDICAL CENTER AVE |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33540-1384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326095894 | Vikas R Soma | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2006-05-28 |
| 1720601966 | Emelia Vanderburg Hanners | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2020-05-22 |
| 1265083992 | Rawan Zeidan | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2019-09-24 |
| 1639735624 | Allison Koch | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2019-05-15 |
| 1619531951 | Mollie Marie Pleasanton | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2019-04-23 |
| 1932762804 | Stephanie Meyn | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2019-04-17 |
| 1164906921 | Christina Knott Woolford | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2018-09-18 |
| 1427565340 | Morgan Jones | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2017-12-30 |
| 1821524745 | Morgan Leschak | Nurse Practitioner | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2017-05-11 |
| 1831623834 | Courtney Breann Ward | Physician Assistant | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 1063654366 | John Paul Ross | Community Health Worker | 8520 Heather Dr., Zephyrhills, FL 33540 | 2009-04-01 |
| 1629243050 | Mission Home Care, Inc. | Home Health | 38332 Daughtery Road, Zephyrhills, FL 33540 | 2008-04-27 |
| 1346448727 | Paul L Chakola | Internal Medicine | 38152 Medical Center Ave, Zephyrhills, FL 33540 | 2007-07-06 |
| 1063596047 | Barbara Helena Czelusniak | Internal Medicine | 38184 Medical Center Ave, Zephyrhills, FL 33540 | 2006-10-25 |
| 1487761557 | Randolph A Knight | Orthopaedic Surgery | 38022 Medical Center Ave, Zephyrhills, FL 33540 | 2006-08-24 |
| 1568472652 | East Pasco Pulmonary & Critical Care Associates Inc | Internal Medicine | 38152 Medical Center Avenue, Zephyrhills, FL 33540 | 2006-08-09 |
| 1710996855 | Pavitar Singh Cheema | Urology | 38023 Medical Center Ave, Zephyrhills, FL 33540 | 2006-08-07 |
| 1710908967 | Chandresh Saraiya | Internal Medicine | 38029 Arbor Ridge, Zephryhills, FL 33540 | 2006-07-22 |
| 1720593650 | Diane Newkirk | Physical Therapy Assistant | 7350 Dairy Rd, Zephyrhills, FL 33540 | 2017-12-14 |
| Find all providers in zip 33540 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427584168 | Jennifer Mas Rodriguez | Physician Assistant | 37852 Medical Arts Ct, Unit A, Zephyrhills, FL 33541-4325 | 2017-05-01 |
| 1841572179 | Judith Irene Sloote | Physician Assistant | 37920 Medical Arts Ct, Zephyrhills, FL 33541-4323 | 2011-09-13 |
| 1649288275 | Cara Rand Pricone | Physician Assistant | 6725 Cedar Ridge Dr, Suite 4, Zephyrhills, FL 33542-7515 | 2006-08-03 |
| 1366488744 | Joyce F Thies | Physician Assistant | 38240 Daughtery Rd, Zephyrhills, FL 33540-1367 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33540 |
Please comment or provide details below to improve the information on TIMOTHY A WALLNER.
| 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.