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

Timothy Maccurdy, PA

Individual provider Dermatology Physician · NPI 1306999156

Timothy Maccurdy, PA is a Physician Assistant in Medford, Oregon. Qualified in 1998, 28 years ago. Practices with Valley Immediate Care, LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
28
Licensed in
OR, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3156 State St
Medford, OR 97504-8450
Phone: (541) 773-9772
Fax: (541) 773-1113
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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 PA163288 (OR)
Dermatology Physician Taxonomy 207N00000X · Licence PA163288 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA10004497 (WA)

Record details

NPI number1306999156
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESApril 18, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Valley Immediate Care, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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