TIMOTHY R KNAUFF P.A.C. - NPI 1013088327 - Physician Assistant in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Timothy R Knauff P.a.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY R KNAUFF P.A.C. (NPI 1013088327) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (619) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013088327

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTIMOTHY R KNAUFFCredential: P.A.C.

Location Address9975 S EASTERN AVE STE 110Las Vegas, NV 89183-7950

Mailing AddressPo Box 530010Henderson, NV 89053-0010 · (702) 492-7208 · Fax (702) 616-0657

Phone(702) 492-7208

Fax(702) 616-0657

Sole ProprietorNo

Enumeration DateNovember 10, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1013088327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · 619

9975 S EASTERN AVE STE 110, Las Vegas, NV 89183

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Other Identifiers 1

Medicaid1013088327NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy R Knauff P.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORGENSON & KOKA LLP

Family Medicine