# DR. TIMOTHY J BUFFEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164422663
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036-121749 | IL | Yes |
| 207Q00000X | Family Medicine Physician | 145829 | AK | — |
| 207Q00000X | Family Medicine Physician | 34007910 | OH | — |
| 207Q00000X | Family Medicine Physician | 5101012318 | MI | — |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 01/15/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000245783 | ANTHEM | OH |
| 01 | — | 04238 | PARAMOUNT | OH |
| 01 | — | 080191223 | RRMC | OH |
| 01 | — | 17-29002 | UHC | OH |
| 05 | — | 2357926 | — | OH |
| 05 | — | 36121749 | — | IL |
| 01 | — | 5715390 | BLUE CROSS/ BLUE SHIELD | IL |
| 01 | — | 5993729 | AETNA | OH |