National Provider Identifier
Timothy R Rasmusson, MD
Timothy R Rasmusson, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Kenmore, NY and a listed phone number of (716) 204-9729.
Profile Overview
- NPI
- 1538169875
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- July 28, 2005
- Last Updated
- March 27, 2023
Practice Location
- 2914 Elmwood Ave
- Kenmore, NY 14217-1332
Phone: (716) 204-9729
Specialties
- Surgery Physician (208600000X)
- Vascular Surgery Physician (2086S0129X)
Full Record
- NPI
- 1538169875
- Entity Type
- Individual
- Last Name
- Rasmusson
- First Name
- Timothy
- Middle Name
- R
- Credential
- MD
- Mailing Street Address
- 2914 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1332
- Mailing Country
- US
- Mailing Phone
- (716) 204-9729
- Mailing Fax
- (716) 204-9406
- Practice Street Address
- 2914 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1332
- Practice Country
- US
- Practice Phone
- (716) 204-9729
- Practice Fax
- (716) 204-9406
- Enumeration Date
- July 28, 2005
- Last Updated
- March 27, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Vascular Surgery Physician (2086S0129X)
- Other Identifiers
- 881517 (NY, Aetna), 1703238 (NY, Independent Health), 01186516 (NY), 169668-1 (NY, Workers Compensation), 005109573 (NY, Blue Cross Blue Shield)