Provider Demographics
NPI:1083625461
Name:WINKLER, TIMOTHY S (PA)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:S
Last Name:WINKLER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:501 DISCOVERY DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3843
Mailing Address - Country:US
Mailing Address - Phone:757-547-5145
Mailing Address - Fax:757-312-0216
Practice Address - Street 1:1711 CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2303
Practice Address - Country:US
Practice Address - Phone:757-938-3654
Practice Address - Fax:757-938-3658
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0110001960363AM0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010223288Medicaid
VA017681S88Medicare PIN
VAQ32910Medicare UPIN