Provider Demographics
NPI:1952339137
Name:SAWYER, TIMOTHY T (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:T
Last Name:SAWYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 SW MISSION VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5654
Mailing Address - Country:US
Mailing Address - Phone:785-272-1250
Mailing Address - Fax:785-272-1845
Practice Address - Street 1:6650 SW MISSION VALLEY DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5654
Practice Address - Country:US
Practice Address - Phone:785-272-1250
Practice Address - Fax:785-272-1845
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-23809207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS068002094OtherMEDICARE PTAN
KS100127160BMedicaid
C86319Medicare UPIN