TIMBERLAND MEDICAL GROUP (NPI# 1528061157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528061157 |
| Entity Type | Organization |
| Organization Name | TIMBERLAND MEDICAL GROUP |
| Practice Address |
937 Hilltop Dr Ste 200 Weatherford TX 76086-5845 |
| Mailing Address |
Po Box 19059 Belfast ME 04915-4085 |
| Practice Telephone | 8175997022 |
| Mailing Telephone | 6157788000 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | JAMES P WRIGHT (SR. DIRECTOR, PHYSICIAN BUSINESS SE) |
| Authorized Official Telephone | 6157788000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080580602 | 05 | |
| TX | BLUE CROSS-BLUE SHIELD | 0044JK | 01 |
| TX | BCBS | 0074DQ | 01 |
| TX | 080580601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942622204 | Timberland Medical Group | Radiology | 1222 W Oaklawn Rd, Suite C, Pleasanton, TX 78064-4302 | 2014-01-06 |
| 1356769962 | Timberland Medical Group | Clinic/Center | 1222 W Oaklawn Rd, Suite B, Pleasanton, TX 78064-4317 | 2014-04-01 |
| 1063834091 | Timberland Medical Group | Radiology | 1907 Highway 97 E, Suite 250, Jourdanton, TX 78026-1538 | 2014-01-10 |
| 1649551516 | Timberland Medical Group | Family Medicine | 8555 N State Highway 16, Poteet, TX 78065-4034 | 2011-09-06 |
| Street Address |
937 HILLTOP DR STE 200 |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972668564 | Andrew Scott Walker | Specialist | 937 Hilltop Dr, Weatherford, TX 76086-5845 | 2006-12-26 |
| 1083717052 | Heather Powell Shelton | Internal Medicine | 937 Hilltop Dr, Weatherford, TX 76086-5845 | 2006-09-06 |
| 1144332396 | Andrew Scott Walker | Surgery | 937 Hilltop Dr, Weatherford, TX 76086-5845 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1144588401 | Adam Khadbai | Family Medicine | 933 Hilltop Dr, Suite 100, Weatherford, TX 76086-8807 | 2012-04-24 |
| 1629354154 | Kimberly Lynn Strickland | Family Medicine | 925 Santa Fe Dr Ste 107, Weatherford, TX 76086-5867 | 2011-10-28 |
| 1851681456 | Sarah Ogbedei Ashitey | Family Medicine | 2035 Fort Worth Hwy Ste 100, Weatherford, TX 76086-4783 | 2011-04-15 |
| 1528204567 | Weatherford Family Practice Medical Center Pllc | Family Medicine | 3739 Legacy, Weatherford, OK 73096-9746 | 2008-12-22 |
| 1609027622 | Tamala Rochelle Mallett Moore | Family Medicine | 3739 Legacy St, Weatherford, OK 73096-9746 | 2008-10-08 |
| 1083894414 | Oklahoma West Physicians Group | Family Medicine | 213 N Illinois St, Weatherford, OK 73096-5437 | 2007-11-14 |
| 1578743993 | Oklahoma West Physicians Group | Family Medicine | 215 N Illinois St, Weatherford, OK 73096-5437 | 2007-11-14 |
| 1184813800 | J Steven Welch Do Pa | Family Medicine | 100 Rooster Cogburn Ct, Weatherford, TX 76088-7228 | 2007-10-18 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
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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.