DR. TIMOTHY WILLIAM DWYER M.D.
NPI 1255312294
Pediatrics - Sports Medicine in Quantico, VA

Active since November 08, 2005PECOS Enrolled
NAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVE, QUANTICO, VA 22134(703) 784-5541 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy William Dwyer M.d. NPPES

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

DR. TIMOTHY WILLIAM DWYER M.D. (NPI 1255312294) is an individual sports medicine provider in Quantico, Virginia, licensed in Massachusetts (155505) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255312294
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. TIMOTHY WILLIAM DWYERCredential: M.D.
Location AddressNAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVEQuantico, VA 22134
Mailing Address3108 Woods Cove LnWoodbridge, VA 22192-1137 · (619) 865-6624
Sole ProprietorNo
Enumeration DateNovember 8, 2005
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
NPI 1255312294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License Licensed in MA · 155505
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
NAVAL HEALTH CLINIC QUANTICO, Quantico, VA 22134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy William Dwyer M.d. 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 5

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

Family Medicine
NAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVE.
QUANTICO, VA 22134
Dentist
NAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVE
QUANTICO, VA 22134
Dentist (Periodontics)
NAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVE
QUANTICO, VA 22134
Social Worker (Clinical)
NAVAL HEALTH CLINIC QUANTICO, 3259 CATLIN AVE
QUANTICO, VA 22134
Military Health Care Provider (Independent Duty Corpsman)
NAVAL HEALTH CLINIC QUANTICO
QUANTICO, VA 22134

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 Dwyer's NPI number?

The NPI number for Timothy Dwyer is 1255312294. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Timothy Dwyer located?

Timothy Dwyer practices at Naval Health Clinic Quantico 3259 Catlin Ave, Quantico, VA 22134. The listed phone number is (703) 784-5541.

What is Timothy Dwyer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Timothy Dwyer enrolled in Medicare?

Yes. Timothy Dwyer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Dwyer was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.