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TIMOTHY JOSEPH PAMPUSCH PAC
NPI 1518021948
Physician Assistant - Surgical in Minneapolis, MN

Active since December 20, 2006
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 672-7422 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Timothy Joseph Pampusch Pac NPPES

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

TIMOTHY JOSEPH PAMPUSCH PAC (NPI 1518021948) is an individual surgical provider in Minneapolis, Minnesota, licensed in Minnesota (10884) and active in the NPI registry since December 2006. He maintains a secondary practice location in Oak Park Heights.

NPPES Registry Identity

NPI1518021948
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTIMOTHY JOSEPH PAMPUSCHCredential: PAC
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address5803 Neal Ave NOak Park Heights, MN 55082-2177 · (651) 439-8807 · Fax (651) 439-0232
Phone(612) 672-7422
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateOctober 22, 2018
✔ NPI 1518021948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MN · 10884✔ Licensed in AK · 536✔ Licensed in WI · 3505-23
909 FULTON ST SE, Minneapolis, MN 55455
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Secondary Practice Location 1

Location 15803 Neal Ave NOak Park Heights, MN 55082-2177 · Phone (651) 439-8807 · Fax (651) 439-0232

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.

DR. RONALD ALEXANDER REILKOFF M.D.
Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
EUGENIA SHMIDT MD
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 284-2511
DR. ROBERT ALLEN MCGOVERN III M.D.
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
KIMBERLY EHLERT PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-5341
NUTTAVUT SUMRANSUB M.D.
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
MARY MELTON PHD
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
DR. BRITTANI LAUREN CONWAY M.D.
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 226-2890

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 Pampusch's NPI number?

The NPI number for Timothy Pampusch is 1518021948. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Timothy Pampusch located?

Timothy Pampusch practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 672-7422.

What is Timothy Pampusch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Timothy Pampusch was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.