Timothy C. Pringle MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

TIMOTHY C. PRINGLE MD PA

Practice address

4541 N. Josey Lane
Suite 140
Carrollton, TX 75010

Phone

(972) 906-1055

Fax

(972) 956-0815

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Dionne Pringle

Title

Administrator

Phone

(972) 906-1055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Timothy C Pringle MD PA

  • Vascular Surgery Physician
  • Lewisville, TX
  • NPI 1043495088

  O20080627000524

  Same enrollment

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.

• Timothy C Pringle MD PA

  • Vascular Surgery Physician
  • Lewisville, TX
  • NPI 1043495088
  NPD tax ID

Locations

Practitioners 1

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

• Timothy Craig Pringle, MD

  • Vascular Surgery Physician
  • Carrollton, TX
  • NPI 1184613341
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1043782907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N. JOSEY LANE",
            "address_2": "SUITE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-906-1055",
            "fax_number": "972-956-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N. JOSEY LANE",
            "address_2": "SUITE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-906-1055",
            "fax_number": "972-956-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C. PRINGLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-906-1055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tuesdi Tidwell
• Laura Rosalie Tiffany-Harrod, CSFA, LSA
• Lodz Timmer
• Titan Chair LLC
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• Sonia Tom
• Melissa Lasola Tompkins, M.D.
• Tony Phan OD

• Vascular Surgery Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.