TIMBERLAND MEDICAL GROUP (NPI# 1063834091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063834091 |
| Entity Type | Organization |
| Organization Name | TIMBERLAND MEDICAL GROUP |
| Other Organization Name | MEDICAL PLAZA IMAGING |
| Practice Address |
1907 Highway 97 E Suite 250 Jourdanton TX 78026-1538 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 8307694000 |
| Practice Fax Number | 7307695248 |
| Mailing Telephone | 8307694000 |
| Mailing Fax Number | 8307695248 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | SOPHIA L ARWOOD (DIRECTOR) |
| Authorized Official Telephone | 6156286038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medical Plaza Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942622204 | Timberland Medical Group | Radiology | 1222 W Oaklawn Rd, Suite C, Pleasanton, TX 78064-4302 | 2014-01-06 |
| 1528061157 | Timberland Medical Group | Obstetrics & Gynecology | 937 Hilltop Dr, Ste 200, Weatherford, TX 76086-5845 | 2005-05-27 |
| 1356769962 | Timberland Medical Group | Clinic/Center | 1222 W Oaklawn Rd, Suite B, Pleasanton, TX 78064-4317 | 2014-04-01 |
| 1649551516 | Timberland Medical Group | Family Medicine | 8555 N State Highway 16, Poteet, TX 78065-4034 | 2011-09-06 |
| Street Address |
1907 HIGHWAY 97 E SUITE 250 |
| City | JOURDANTON |
| State | TX |
| Zip Code | 78026-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649344391 | Stephanie Marie Prado | Specialist | 1907 Highway 97 E, Suite 130, Jourdanton, TX 78026-1537 | 2006-11-17 |
| 1962803841 | Tamara Rodriguez | Nurse Practitioner | 1907 Highway 97 E, Suite 280, Jourdanton, TX 78026-1537 | 2014-09-10 |
| 1215184841 | Ashwini Kumar | Surgery | 1907 Highway 97 E, Suite 260, Jourdanton, TX 78026-1537 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689815 | Tiffany Rose Mitchell | Physical Therapy Assistant | 1504 Tx-97e, Jourdanton, TX 78026 | 2018-12-05 |
| 1184864829 | Jesus Sanchez Ortiz | Contractor | 1909 Mcdowell Avenue, Jourdanton, TX 78026 | 2009-02-20 |
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| 1801938121 | Advanced Obgyn Care of South Texas | Obstetrics & Gynecology | 1901 Hwy 97 E, Ste 230, Jourdanton, TX 78026 | 2007-02-13 |
| 1013981448 | Anie A Cherian | Podiatrist | 180 County Road 300, Jourdanton, TX 78026 | 2006-02-14 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1891017844 | Atascosa Emergency Medicine Associates Pa | Physician Assistant | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 | 2010-02-18 |
| 1033199542 | Patricio T Villarreal | Emergency Medicine | 1905 Highway 97 E, Emergency Room, Jourdanton, TX 78026-1504 | 2006-01-19 |
| 1922511906 | Tx-i Medical Services Pa | Physician Assistant | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1679086649 | Remington Emergency Physicians Pllc | Emergency Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| Find all providers in zip 78026 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1366000531 | Interventional Partners, LLC | Radiology | 1650 Round Rock Ave Ste 100, Round Rock, TX 78681-4082 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | JOURDANTON |
| Zip Code | 78026 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.