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

Timothy Raymond Gengembre, PA-C

Individual provider Physician Assistant · NPI 1831354075

Timothy Raymond Gengembre, PA-C is a Physician Assistant in Elm Grove, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1650 Pilgrim Pkwy
Elm Grove, WI 53122-1531
Phone: (262) 366-8985
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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 245-023 (WI)

Record details

NPI number1831354075
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2008
Last updated in NPPESAugust 20, 2025
Certification dateAugust 19, 2025

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