Individual provider Active NPI

Wanda Gail Timpton, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1033276456
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017776 Issued in LA
Practice address
5824 Hayne Blvd
5980 Winchester Park Drive
New Orleans, LA 70126-1344
Phone
(504) 242-4896
Fax
(504) 242-4869
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017776 LA Primary

Addresses

Primary practice location

5824 Hayne Blvd
5980 Winchester Park Drive
New Orleans, LA 70126-1344

Mailing address

5824 Hayne Blvd
5980 Winchester Park Drive
New Orleans, LA 70126-1344
Phone (504) 242-4896

Other identifiers 1

IdentifierTypeStateIssuer
1357561MedicaidLA

Other names 1

  • Ms. Wanda Gail Timpton-Holt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000604 LA Practitioner - Family Practice 8426150657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7901 Downman Rd
Suite a
New Orleans, LA 70126-1200
Phone (504) 244-1991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center of Gentilly CurrentSince Jul 26, 2010 Accepting new patients

Locations

7901 Downman Rd
New Orleans, LA 70126
Phone (504) 244-1991

7901 Downman Rd
Ste A
New Orleans, LA 70126
Phone (504) 244-1991

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1033276456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 HAYNE BLVD",
            "address_2": "5980 WINCHESTER PARK DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261344",
            "telephone_number": "504-242-4896",
            "fax_number": "504-242-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 HAYNE BLVD",
            "address_2": "5980 WINCHESTER PARK DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261344",
            "telephone_number": "504-242-4896",
            "fax_number": "504-242-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMPTON",
        "first_name": "WANDA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357561",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "TIMPTON-HOLT",
            "middle_name": "GAIL",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.