Provider Demographics
NPI:1841280013
Name:TIMMONS, ROBERT A (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:TIMMONS
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:M
Other - Last Name:ABAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 ALUMNI DRIVE
Mailing Address - Street 2:COEH
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2128
Mailing Address - Country:US
Mailing Address - Phone:603-580-6635
Mailing Address - Fax:603-580-6579
Practice Address - Street 1:5 ALUMNI DRIVE
Practice Address - Street 2:COEH
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2128
Practice Address - Country:US
Practice Address - Phone:603-580-6635
Practice Address - Fax:603-580-6579
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT03201338142083X0100X
NH138852083X0100X, 2083P0500X
MA2346882083X0100X, 2083P0500X
CO389642083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30229277Medicaid
NH002043802Medicare PIN