Provider Demographics
NPI:1144213760
Name:SEMPOWSKI, TIMOTHY J (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:SEMPOWSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-267-7164
Practice Address - Fax:717-267-7414
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007856L207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1541263OtherGATEWAY (AFC)
PA1818940OtherAETNA HMO (AFC)
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA6802736OtherAETNA HMO (PMFC)
PAOS007856LOtherLICENSE
PA227938OtherUNISON (AFC)
PA25-1716306OtherFIRST HEALTH
PA001536159 0003Medicaid
PA781457OtherHIGHMARK BLUESHIELD
PAP00458425OtherRAILROAD MEDICARE
PA1007307260037OtherMEDICAID GROUP # (PMFC)
PA25-1716306OtherINTERGROUP
PA50073141OtherCAPITAL BLUECROSS (AFC)
PA50083159OtherCAPITAL BLUECROSS (PMFC)
PAG920-0105OtherCAREFIRST
PA2105895OtherMAMSI
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherDEVON
PA25-1716306OtherPHCS/MULTIPLAN
PA289731OtherUNISON (PMFC)
PA050514OtherMEDICARE GROUP #
PA1007307260036OtherMEDICAID GROUP # (AFC)
PA120420418OtherDEPT OF LABOR
PA25-1716306OtherINFORMED
PA5038050OtherAETNA NON-HMO
PAPEARL PROVIDEROtherHEALTH AMERICA
PAPEARL PROVIDEROtherHEALTH AMERICA
PA25-1716306OtherINTERGROUP
PA6802736OtherAETNA HMO (PMFC)