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

Timothy Gaffney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134732761

Timothy Gaffney is a Physician Assistant in Missoula, Montana. Qualified in 2021, 5 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
5
Licensed in
MT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 — (206) 616-4001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-102492 (MT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134732761
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing addressPo Box 12, Liberty Lake, WA 99019-0012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Missoula