TIMOTHY RAYMOND GENGEMBRE PA-C
NPI 1831354075
Physician Assistant in Elm Grove, WI

Active since July 28, 2008
1650 PILGRIM PKWY, ELM GROVE, WI 53122(262) 366-8985 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Raymond Gengembre Pa-c NPPES

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

TIMOTHY RAYMOND GENGEMBRE PA-C (NPI 1831354075) is an individual physician assistant in Elm Grove, Wisconsin, licensed in Wisconsin (245-023) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1831354075
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY RAYMOND GENGEMBRECredential: PA-C
Location Address1650 PILGRIM PKWYElm Grove, WI 53122-1531
Mailing Address1650 Pilgrim PkwyElm Grove, WI 53122-1531 · (262) 366-8985
Sole ProprietorNo
Enumeration DateJuly 28, 2008
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 19, 2025
NPI 1831354075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 245-023
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.
1650 PILGRIM PKWY, Elm Grove, WI 53122

Other Identifiers 1

Medicaid42908600WI

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 Gengembre's NPI number?

The NPI number for Timothy Gengembre is 1831354075. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Timothy Gengembre located?

Timothy Gengembre practices at 1650 Pilgrim Pkwy, Elm Grove, WI 53122. The listed phone number is (262) 366-8985.

What is Timothy Gengembre'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 Gengembre was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.