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

Phillip Mark Timcheck, CRNA

Individual provider Critical Care Medicine Registered Nurse · NPI 1801593314

Phillip Mark Timcheck, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Greensboro, North Carolina. Qualified in 2024, 2 years ago. Practices with Medical Park Hospital LLC, a 109-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

124 E Gate City Blvd
Greensboro, NC 27406-1457
Phone: (336) 553-6083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 7558 (NC)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 294093 (NC)

Record details

NPI number1801593314
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 14, 2023
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address418 Ryder Cup Ln, Clemmons, NC 27012-9763

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Park Hospital Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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