TIMOTHY W BURNAP PA
NPI 1962409714
Physician Assistant - Surgical in Providence, RI
About Timothy W Burnap Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY W BURNAP PA (NPI 1962409714) is an individual surgical provider in Providence, Rhode Island, licensed in Rhode Island (PA00074) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy W Burnap Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
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 Burnap's NPI number?
The NPI number for Timothy Burnap is 1962409714. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Timothy Burnap located?
Timothy Burnap practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.
What is Timothy Burnap's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Timothy Burnap enrolled in Medicare?
Yes. Timothy Burnap is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Timothy Burnap 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.
# Timothy W Burnap, PA · NPI 1962409714
Surgical physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1962409714 (Entity type: Individual)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA00074 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 CHALKSTONE AVE, Providence, RI 02908-4728
- **Phone:** (401) 456-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 7003979 (RI); Medicare UPIN R82719 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962409714) · Data from the CMS NPPES public registry.