Provider Demographics
NPI:1538593660
Name:JOSEPH J. TIMMES, JR., M.D., F.A.C.S..LTD
Entity type:Organization
Organization Name:JOSEPH J. TIMMES, JR., M.D., F.A.C.S..LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:TIMMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-560-7797
Mailing Address - Street 1:3301 WOODBURN RD
Mailing Address - Street 2:#204
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1229
Mailing Address - Country:US
Mailing Address - Phone:703-560-7797
Mailing Address - Fax:703-560-7897
Practice Address - Street 1:3301 WOODBURN RD
Practice Address - Street 2:#204
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1229
Practice Address - Country:US
Practice Address - Phone:703-560-7797
Practice Address - Fax:703-560-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB92924Medicare UPIN
VA038592Medicare PIN