MEDICARE: MR. TIMOTHY JOHN COFFMAN SR. PA-C

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
1	363AM0700X	Medical Physician Assistant	024068	NY

General Provider Information

NPI Number	:	1255308268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY JOHN COFFMAN SR. PA-C

Provider Business Mailing Address
First Line	:	904 BLUEBIRD HILL AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2548
Country	:	US
Telephone Number	:	719-337-6095
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 NORTH PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89084
Country	:	US
Telephone Number	:	702-719-9000
Fax Number	:	702-791-9359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/07/2023

Similar Medicare Providers

1386261071 — CASSANDRA L COTTON MFT-INTERN
Practice Location Address:

522 SENECA RIDGE AVE
NORTH LAS VEGAS, NV
89084-1314

Practice Phone: 702-303-4457
Practice Fax:

1346528957 — THEODIS THROWER JR. TOTAL CARE AND CONSULTING LLC
Practice Location Address:

6616 NIGHT OWL BLUFF AVE
NORTH LAS VEGAS, NV
89084-2027

Practice Phone: 702-336-6126
Practice Fax: 928-832-6125

1194653451 — WRIGHT 1 SOLUTIONS
Practice Location Address:

6960 N 5TH ST STE 1322
NORTH LAS VEGAS, NV
89084-1351

Practice Phone: 702-401-5992
Practice Fax:

1477556553 — DR. VICENTE D. NARCISO M.D.
Practice Location Address:

7368 NIGHT HERON WAY , WARD 3C
NORTH LAS VEGAS, NV
89084-2496

Practice Phone: 702-638-0099
Practice Fax: 702-638-0099

1205899689 — DONALD I KUZYK DPM
Practice Location Address:

7937 LILY TROTTER ST
NORTH LAS VEGAS, NV
89084-2408

Practice Phone: 805-732-6310
Practice Fax:

1487693040 — WALGREEN CO
Practice Location Address:

6435 ALIANTE PKWY
NORTH LAS VEGAS, NV
89084-3196

Practice Phone: 702-657-6508
Practice Fax:

Directions to “ MR. TIMOTHY JOHN COFFMAN SR. PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.