Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Capers Boan, PA-C

Individual provider Physician Assistant · NPI 1477570182

Timothy Capers Boan, PA-C is a Physician Assistant in Manassas, Virginia. Licensed in Maryland and Virginia. Registered with an NPI since 2006.

Licensed in
MD, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8700 Sudley Rd
Manassas, VA 20110-4418
Phone: (866) 828-1780
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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 0110001834 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0002904 (MD)

Record details

NPI number1477570182
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESFebruary 20, 2013

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