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

Timothy Busch, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1346201704

Timothy Busch, PHYSICIANASSISTANT is a Physician Assistant in Santa Fe, New Mexico. Qualified in 2005, 21 years ago. Practices with Epiphany Dermatology of New Mexico, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
21
Licensed in
NM
In the registry since
2006
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Practice location Address checks out

5 Calle Medico Ste A
Santa Fe, NM 87505-4762
Phone: (505) 557-6300
Fax: (505) 557-6302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2005-0055 (NM)

Record details

NPI number1346201704
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address7300 Ranch Rd. 2222 Bldg 1, Ste 200, Austin, TX 78730-3255

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Epiphany Dermatology Of New Mexico, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Fe