DR. PAUL C TIMMERMANN (NPI# 1821035072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821035072 |
| Entity Type | Individual |
| Full Name | DR. PAUL C TIMMERMANN |
| Credential | M.D. |
| Practice Address |
1215 3rd St Sw Roanoke VA 24016-4611 |
| Practice Telephone | 5409811439 |
| Practice Fax Number | 5403455446 |
| Mailing Telephone | 5409811439 |
| Mailing Fax Number | 5403455446 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101042049 | VA | Other Service Providers |
| Y | 207N00000X | Dermatology | 0101042049 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005900654 | 05 | |
| VA | ANTHEM OF VA PROVIDER NUM | 242780 | 01 |
| Street Address |
1215 3RD ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241086 | Maria R Soriano | Pediatrics | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2005-11-10 |
| 1548706286 | Megan Carter | Physician Assistant | 1215 3rd St Sw, Roanoke, VA 24016 | 2017-01-18 |
| 1952774358 | Kuumba Community Health and Wellness Center Inc | Clinic/Center | 1215 3rd St Sw, Suite A, Roanoke, VA 24016-4611 | 2015-11-06 |
| 1356717136 | Anna Cameron | Social Worker | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2015-08-17 |
| 1134536832 | Dermatology Associates of Roanoke | Specialist | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2014-07-15 |
| 1710187547 | Elizabeth Kaufman Mcnamara | Dermatology | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2007-07-19 |
| 1174617187 | Dermatology Associates of Roanoke P C | Dermatology | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2006-10-03 |
| 1457308371 | Susan B Dorsey | Specialist | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970030 | Padma Chitnavis | Dermatology | 1204 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2015-04-23 |
| 1437414703 | Dermatology Practice of Roanoke PC | Dermatology | 2000 Stephenson Ave, Roanoke, VA 24014-1664 | 2012-07-11 |
| 1598939464 | Melanie Rebecca Walter | Dermatology | 2000 Stephenson Ave., Roanoke, VA 24014-0000 | 2008-04-22 |
| 1679581318 | Philip Earl Wakefield | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2006-08-04 |
| 1992730519 | The Arts & Science of Dermatology, PC | Dermatology | 4320 Brambleton Ave, Suite B, Roanoke, VA 24018-3405 | 2006-07-12 |
| 1770549826 | Allison K Divers | Dermatology | 4320 Brambleton Ave Suite B, Roanoke, VA 24018 | 2006-04-25 |
| 1760470496 | Martin T Smith | Dermatology | 3825 Electric Rd Ste C, 419 Office Center, Roanoke, VA 24018-4561 | 2005-10-06 |
| 1053708685 | Joshua Eikenberg | Dermatology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-21 |
| 1689935918 | Alex Christopher Holliday | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016 | 2012-06-04 |
| 1942591375 | Kyle Andrew Prickett | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2011-04-19 |
| Find all providers in ROANOKE | ||||
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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.