Provider Demographics
NPI:1194729996
Name:THIMONS, DAVID GERARD (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:GERARD
Last Name:THIMONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CLIFFMINE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1053
Mailing Address - Country:US
Mailing Address - Phone:724-766-0025
Mailing Address - Fax:878-201-3584
Practice Address - Street 1:2000 CLIFFMINE RD STE 500
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1053
Practice Address - Country:US
Practice Address - Phone:878-201-3312
Practice Address - Fax:878-201-3584
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3459207Q00000X
WV2964207Q00000X
FLOS15343207Q00000X
PAOS010098L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017867880003Medicaid
PAH05992Medicare UPIN
PA032707Q9CMedicare ID - Type Unspecified