Provider Demographics
NPI:1447343967
Name:UNGS, TIMOTHY J (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:J
Last Name:UNGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2870
Mailing Address - Street 2:6626 CHAPEL HILL BLVD., #L-104
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99302-2870
Mailing Address - Country:US
Mailing Address - Phone:360-920-6867
Mailing Address - Fax:
Practice Address - Street 1:6626 CHAPEL HILL BLVD APT L104
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-3880
Practice Address - Country:US
Practice Address - Phone:360-920-6867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000167562083X0100X, 2083P0901X, 202C00000X, 208D00000X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7360UNOtherREGENCE
WA176451OtherL&I
WA8352650Medicaid
WA8352650Medicaid
WA8850557Medicare PIN
WA176451OtherL&I