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Contact Information

TIMOTHY B SHORT, MD
LEE ST FL 3
CHARLOTTESVILLE, VA22908-0001
 Phone: 434-243-6361
 Fax: 434-243-6280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY B SHORT · (Male)

NPI # 1801866835
Status Active
Credentials MD
Entity Individual
Enumeration date 01/24/2006
Last updated 09/12/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-126666
  • VA License # 0101040226
  • VA Medicaid 005638623
  • VA Medicaid 45187
  • VA Other 234064 ANTHEM SVC/HEALTHKEEPERS
  • VA Other 700010935 CIGNA
  • VA Other 45187 COMMUNITY HEALTH
  • VA Other 267138 MAMSI
  • VA Other 080141641 MEDICARE PIN
  • VA Other P00212563 MEDICARE PIN
  • VA Other 142901 SOUTHERN HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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