Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Timothy M Peasak, DO

Individual provider Emergency Medicine Physician · NPI 1720142391

Dr. Timothy M Peasak, DO is an Emergency Medicine in Bridgeport, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2001, 25 years ago. Practices with Holzer Clinic LLC, a 264-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
25
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
OH, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1370 Johnson Ave 1st Fl
Bridgeport, WV 26330
Phone: (304) 842-3330
Fax: (304) 842-3303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 140 Middletown Loop, Fairmont, WV 26554-8701 — (304) 333-1150
  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1942 (WV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 34.008542 (OH)

Record details

NPI number1720142391
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address1370 Johnson Ave, 1st Floor, Bridgeport, WV 26330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2001 (25 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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