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NPI Code Detail

MEDICARE: DR. TIMOTHY V CHAVIS MD

MEDICARE: DR. TIMOTHY V CHAVIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD60099687WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023099397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY V CHAVIS MD
Provider Business Mailing Address
First Line : 714 W PINE ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9046
Country : US
Telephone Number : 509-447-2441
Fax Number : 509-447-2911
Provider Business Practice Location Address
First Line : 714 W PINE ST
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9046
Country : US
Telephone Number : 509-447-2441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 06/28/2019

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Directions to “ DR. TIMOTHY V CHAVIS MD” Practice Location

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