Timothy Lee Dersch, M.D.
Timothy Lee Dersch is a Surgery Physician provider (Surgery) practicing in Greer, SC, registered in the NPPES registry with NPI 1366415523 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366415523 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Timothy Lee Dersch |
| Credential | M.D. |
| Sex | Male |
| Practice address | 340 MEDICAL PKWY STE 200, Greer, SC, 29650 |
| Phone | 8647979400 |
| Enumeration date | 2006-02-08 |
| Last updated in NPPES | 2026-05-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 31261 | SC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312619 | Medicaid | SC | — |
| P00656863 | Other | SC | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Timothy Dersch, M.D. NPI: 1366415523 Taxonomy: 208600000X (Surgery Physician) Address: 340 MEDICAL PKWY STE 200, Greer, SC, 29650
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699901496 | Rupal Patel | Individual | Surgical Critical Care Physician | Greer, SC |
| 1568723625 | Michael Harling | Individual | Surgery Physician | Greer, SC |
| 1124376355 | Nicole Reynolds | Individual | Physician Assistant | Greer, SC |
| 1528597002 | Selina Juarez | Individual | Surgery Physician | Greer, SC |
Verify this record
Cross-check NPI 1366415523 against the authoritative CMS record: view Timothy Lee Dersch on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-28.