Provider Demographics
NPI:1841298965
Name:TIMMES, JOSEPH JOHN JR (MD, FACS,LTD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:TIMMES
Suffix:JR
Gender:M
Credentials:MD, FACS,LTD
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:JOHN
Other - Last Name:TIMMES
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD, FACS, LTD
Mailing Address - Street 1:3301 WOODBURN RD
Mailing Address - Street 2:204
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1229
Mailing Address - Country:US
Mailing Address - Phone:703-560-7797
Mailing Address - Fax:703-560-7897
Practice Address - Street 1:3301 WOODBURN RD
Practice Address - Street 2:204
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1229
Practice Address - Country:US
Practice Address - Phone:703-560-7797
Practice Address - Fax:703-560-7897
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101020954207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA038592OtherPTAN
VAB92924Medicare UPIN