Provider Demographics
NPI:1073830766
Name:LEVAR, TIMOTHY J (DPM)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:LEVAR
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34600 CHARDON RD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-8481
Mailing Address - Country:US
Mailing Address - Phone:440-585-2640
Mailing Address - Fax:440-944-5278
Practice Address - Street 1:34600 CHARDON RD UNIT 8
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-8481
Practice Address - Country:US
Practice Address - Phone:440-585-5258
Practice Address - Fax:440-944-5278
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003672213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery