Tim Weill MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6151 Issued in MT

Legal business name

TIM WEILL MD PC

Practice address

2800 11TH Ave S
Suite 13
Great Falls, MT 59405-5263

Phone

(406) 761-6880

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Clark Weill, MD

Title

Ceo

Phone

(406) 761-6880

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003030818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "address_2": "SUITE 13",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-761-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "address_2": "SUITE 13",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-761-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM WEILL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-761-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "6151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065739",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra L Thurman, LCSW
• Gregory S Tierney, M.D.
• Necia Marie Tierney, FNP
• John Gregory Tilton, BA MED LCPC NCC
• Kathleen Reed Tilton, LCPC
• Kelly A Timmer, FNP
• Tysen Timmer, MD
• Thomas Logan Tinsen, PHARM.D.
• James Michael Todd, PA-C
• Sarah Topel, FNP-C

• Family Medicine Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.