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

Timothy Patrick Hannigan, PA-C

Individual provider Physician Assistant · NPI 1396345427

Timothy Patrick Hannigan, PA-C is a Physician Assistant in Phoenix, Arizona. Graduated from Lincoln Memorial University Medical Department in 2020, 6 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and New Hampshire.

Years since qualifying
6
Trained at
Lincoln Memorial University Medical Department
Licensed in
AZ, NH
In the registry since
2020
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

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone: (602) 344-1015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 264 Pleasant St, Concord, NH 03301-2551 — (603) 224-3368

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10442 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 1668 (NH)

Record details

NPI number1396345427
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2020 (6 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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