TIMOTHY P WOMBACHER PA
NPI 1518226356
Physician Assistant in Park Ridge, IL

Q: What is Timothy Wombacher's NPI number?

The NPI number for Timothy Wombacher is 1518226356. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Q: What is Timothy Wombacher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Wombacher was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 14, 2012

1775 DEMPSTER ST, PARK RIDGE, IL 60068(708) 783-7025(708) 783-7409 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 28, 2023, Jan 4, 2022, Aug 10, 2021 and 3 more (6 updates tracked since 2018).

On this page

About Timothy P Wombacher Pa NPPES

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

TIMOTHY P WOMBACHER PA (NPI 1518226356) is an individual physician assistant in Park Ridge, Illinois, licensed in Texas (PA12692) and active in the NPI registry since May 2012. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1518226356

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTIMOTHY P WOMBACHERCredential: PA

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address11970 N Central Expy Ste 210Dallas, TX 75243-3784 · (214) 575-5885 · Fax (907) 782-4662

Phone(708) 783-7025

Fax(708) 783-7409

Sole ProprietorNo

Enumeration DateMay 14, 2012

Last NPPES UpdateAugust 28, 20236 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1518226356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA12692

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 085005389 (IL)

1775 DEMPSTER ST, Park Ridge, IL 60068

Open in Google Maps ↗

Secondary Practice Locations 4

Location 111970 N Central Expy Ste 210Dallas, TX 75243-3784 · Phone (214) 575-5885

Location 23537 S Interstate 35 E Ste 220Denton, TX 76210-6813 · Phone (214) 575-5885

Location 33900 St Francis Way Ste 200Lafayette, IN 47905-4940 · Phone (765) 775-2800

Location 4703 S Fleishel Ave Ste 5000Tyler, TX 75701-2015 · Phone (903) 525-2992

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.

MS. STACEY K VILIONE PA-C

Physician Assistant (Surgical)