- Practice location
- 119 Northport Ave Fl 1, Belfast, ME 04915-6069
- Phone
- 207-505-4567
- Fax
- 207-536-2794
- Last updated
- February 11, 2026
Timothy P Canham is a Physician Assistant, Medical based in Belfast, ME. Timothy P Canham practices in Belfast, ME and has the professional credentials of PA-C. The NPI Number for Timothy P Canham is 1780789057 and holds a License No. PA550 (ME). The current practice location address for Timothy P Canham is 119 Northport Ave Fl 1, Belfast, ME 04915-6069 and can be reached out via phone at 207-505-4567 and via fax at 207-536-2794.
Provider Profile Details
- NPI Number
- 1780789057
- Provider Name
- Timothy P Canham
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 119 Northport Ave Fl 1, Belfast, ME 04915-6069
- Phone Number
- 207-505-4567
- Fax Number
- 207-536-2794
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 13, 2006
- Last Update Date
- February 11, 2026
- Certification Date
- February 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Northport Ave Fl 1
Belfast, ME 04915-6069 - City
- Belfast
- State
- Maine
- Zip
- 04915-6069
- Phone Number
- 207-505-4567
- Fax Number
- 207-536-2794
Provider Business Mailing Address Details
- Address
- 119 Northport Ave Fl 1
Belfast, ME 04915-6069 - City
- Belfast
- State
- ME
- Zip
- 04915-6069
- Phone Number
- 207-505-4567
- Fax Number
- 207-536-2794
License Information
- License Number (1)
- PA550
- License State (1)
- ME
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- PA550
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Timothy P Canham, PA-C?
The NPI number of Mr. Timothy P Canham, PA-C is 1780789057. It was assigned on September 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Timothy P Canham, PA-C?
Mr. Timothy P Canham, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA550.
Where does Mr. Timothy P Canham, PA-C practice?
The practice location is 119 Northport Ave Fl 1, Belfast, ME 04915-6069. The office can be reached at 207-505-4567 (phone) or 207-536-2794 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780789057 directly on the NPPES registry website.