Provider Demographics
NPI:1699874651
Name:SCHWEITZER, TIMOTHY (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:SCHWEITZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 827
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-0827
Mailing Address - Country:US
Mailing Address - Phone:425-777-4411
Mailing Address - Fax:
Practice Address - Street 1:1400 116TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3816
Practice Address - Country:US
Practice Address - Phone:425-777-4411
Practice Address - Fax:425-454-8066
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26526207X00000X
WAMD00046812207X00000X
KS04-31349207X00000X
TXL8944207X00000X
OK21741207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8957960Medicare PIN
WAG8957959Medicare PIN
WAG8957961Medicare PIN