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

Timothy B Mack, DO

Individual provider Family Medicine Physician · NPI 1306106836

Timothy B Mack, DO is a Family Practice in Paoli, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2012, 14 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2012
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

255 W Lancaster Ave Ste 330
Paoli, PA 19301-1766
Phone: (610) 786-3200
Fax: (610) 786-3208
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS017355 (PA)

Record details

NPI number1306106836
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESJuly 21, 2022
Mailing address255 W. Lancaster Avenue, Mob 3, Suite 330, Paoli, PA 19301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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