TIMOTHY CAPERS BOAN PA-C
NPI 1477570182
Physician Assistant in Manassas, VA

Active since July 17, 2006
8700 SUDLEY RD, MANASSAS, VA 20110(866) 828-1780 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Capers Boan Pa-c NPPES

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

TIMOTHY CAPERS BOAN PA-C (NPI 1477570182) is an individual physician assistant in Manassas, Virginia, licensed in Virginia (0110001834) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1477570182
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY CAPERS BOANCredential: PA-C
Location Address8700 SUDLEY RDManassas, VA 20110-4418
Mailing Address12410 Milestone Center Dr, Medical Emergency Professionals, Suite 225Germantown, MD 20876-7101 · (866) 828-1780
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 20, 2013
NPI 1477570182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110001834 Licensed in MD · C0002904
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8700 SUDLEY RD, Manassas, VA 20110

Other Identifiers 2

Medicare ID-Type Unspecified008325E54VA
Medicare UPINQ19437

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
8700 SUDLEY RD
MANASSAS, VA 20110
Behavior Analyst
8700 SUDLEY RD
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8700 SUDLEY RD
MANASSAS, VA 20110
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Obstetrics & Gynecology
8700 SUDLEY RD
MANASSAS, VA 20110
Anesthesiology
8700 SUDLEY RD
MANASSAS, VA 20110
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Nurse Practitioner (Acute Care)
8700 SUDLEY RD
MANASSAS, VA 20110

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 Boan's NPI number?

The NPI number for Timothy Boan is 1477570182. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Timothy Boan located?

Timothy Boan practices at 8700 Sudley Rd, Manassas, VA 20110. The listed phone number is (866) 828-1780.

What is Timothy Boan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Boan was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.