Organization Active NPI

Timothy C Pringle MD PA

  • Vascular Surgery Physician
  • Lewisville, TX
National Provider Identifier
1043495088
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
99999 Issued in TX
Legal business name
TIMOTHY C PRINGLE MD PA
Practice address
560 W Main St
Suite 200
Lewisville, TX 75057-3629
Phone
(972) 906-0011
Fax
(972) 906-0815
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Timothy C Pringle, M.D.NPI 1184613341
Title
Ceo
Phone
(972) 906-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 99999 TX Primary

Addresses

Primary practice location

560 W Main St
Suite 200
Lewisville, TX 75057-3629

Mailing address

560 W Main St
Suite 200
Lewisville, TX 75057-3629
Phone (972) 906-0011

Other identifiers 1

IdentifierTypeStateIssuer
A0155706OtherTXDPS REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000524 TX Part B Supplier - Clinic/Group Practice 5597835611 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Carrollton, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Timothy C Pringle MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4541 N Josey Ln
Ste 140
Carrollton, TX 75010
Phone (972) 906-1055

560 W Main St
Ste 200
Lewisville, TX 75057
Phone (972) 906-0011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1043495088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573629",
            "telephone_number": "972-906-0011",
            "fax_number": "972-906-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573629",
            "telephone_number": "972-906-0011",
            "fax_number": "972-906-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C PRINGLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-906-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "99999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS REGISTRATION",
            "identifier": "A0155706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.