Provider Demographics
NPI:1275643843
Name:MCKEE, TIMOTHY R (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:R
Last Name:MCKEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:450 S WASHINGTON ST
Mailing Address - Street 2:3RD FLOOR SUITE C
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-2500
Mailing Address - Country:US
Mailing Address - Phone:717-334-8141
Mailing Address - Fax:717-334-1885
Practice Address - Street 1:450 S WASHINGTON ST
Practice Address - Street 2:3RD FLOOR SUITE C
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-334-8141
Practice Address - Fax:717-334-1885
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039484E207L00000X, 207P00000X, 208600000X, 2086S0120X, 2086S0129X, 208C00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA211141OtherJOHNS HOPKINS
PA20072214OtherAMERIHEALTH MERCY-WMG
PA50075820OtherCAPITAL BLUE CROSS WMG
PA1522431OtherGATEWAY-WMG
PA604223OtherHIGHMARK
PA001482174Medicaid
PA34786OtherGEISINGER HEALTH PLAN
PA4538582OtherAETNA
PA20072214OtherAMERIHEALTH MERCY-WMG
PA001482174Medicaid
PA34786OtherGEISINGER HEALTH PLAN
PAP00641341Medicare PIN