Individual
TIMOTHY PAUL PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 SUMMIT STREET, BROOKVILLE, PA 15825
(814) 849-8329
(814) 849-5441
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 849-8329
(814) 849-5441
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A53094
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD428157
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD428157
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101770225
—
PA
01
—
104242
GEISINGER
PA
01
—
1486953
AETNA
PA
01
—
612414900
BLACK LUNG
PA
Enumeration date
02/23/2006
Last updated
12/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us