1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Physician Assistant
  6. NPI Profile

MR. TIMOTHY JOHN COFFMAN SR. PA-C
NPI 1255308268
Physician Assistant - Medical in Las Vegas, NV

Active since March 08, 2006
6900 NORTH PECOS RD, LAS VEGAS, NV 89084(702) 719-9000(702) 791-9359 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Timothy John Coffman Sr. Pa-c NPPES

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

MR. TIMOTHY JOHN COFFMAN SR. PA-C (NPI 1255308268) is an individual medical provider in Las Vegas, Nevada, licensed in New York (024068) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1255308268
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TIMOTHY JOHN COFFMAN SR.Credential: PA-C
Location Address6900 NORTH PECOS RDLas Vegas, NV 89084
Mailing Address904 Bluebird Hill AveNorth Las Vegas, NV 89084-2548 · (719) 337-6095
Phone(702) 719-9000
Fax(702) 791-9359
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1255308268 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 NY · 024068
6900 NORTH PECOS RD, Las Vegas, NV 89084
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Coffman's NPI number?

The NPI number for Timothy Coffman is 1255308268. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Timothy Coffman located?

Timothy Coffman practices at 6900 North Pecos Rd, Las Vegas, NV 89084. The listed phone number is (702) 719-9000.

What is Timothy Coffman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Timothy Coffman was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.