TIMOTHY PAYNE PA
NPI 1558457754
Physician Assistant - Medical in Grandview, WA

Active since October 05, 2006
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444(509) 882-2049 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Payne Pa NPPES

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

TIMOTHY PAYNE PA (NPI 1558457754) is an individual medical provider in Grandview, Washington, licensed in Washington (PA10000956) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1558457754
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY PAYNECredential: PA
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-6715
Fax(509) 882-2049
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1558457754 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 WA · PA10000956
1000 WALLACE WAY, Grandview, WA 98930

Other Identifiers 7

Other8401655WA · Chpw
Medicare ID-Type UnspecifiedGAB22224
Medicaid8401655WA
Other9022Group Health
OtherPA6393Regence
Medicare UPINP32740
Other127586WA · L & I

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.

Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Counselor
1000 WALLACE WAY
GRANDVIEW, WA 98930

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 Payne's NPI number?

The NPI number for Timothy Payne is 1558457754. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Timothy Payne located?

Timothy Payne practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Timothy Payne'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 Payne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.