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

Individual provider Physician Assistant · NPI 1053896621

Timothy Richard Shank, PA-C is a Physician Assistant in Arvada, Colorado. Qualified in 2018, 8 years ago. Practices with Long Term Care and Rehab Consultants, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2018
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

12650 W 64th Ave Unit E501
Arvada, CO 80004-3893
Phone: (303) 431-4127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1599 Ingalls St, Lakewood, CO 80214-1505 — (303) 232-3551

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0005534 (CO)

Record details

NPI number1053896621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2018
Last updated in NPPESSeptember 30, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Long Term Care And Rehab Consultants — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Arvada