NPIMap

Organization Active NPI

Timberland Medical Group

Doing business as Medical Plaza Imaging

  • Diagnostic Radiology Physician
  • Jourdanton, TX
National Provider Identifier
1063834091
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TIMBERLAND MEDICAL GROUP
Doing business as
Medical Plaza Imaging
Practice address
1907 Highway 97 E
Suite 250
Jourdanton, TX 78026-1538
Phone
(830) 769-4000
Fax
(730) 769-5248
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Sophia L Arwood
Title
Director
Phone
(615) 628-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1907 Highway 97 E
Suite 250
Jourdanton, TX 78026-1538

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (830) 769-4000

Other names 1

  • Medical Plaza Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Plaza Imaging2 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.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1063834091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "830-769-4000",
            "fax_number": "830-769-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY 97 E",
            "address_2": "SUITE 250",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261538",
            "telephone_number": "830-769-4000",
            "fax_number": "730-769-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAND MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "ARWOOD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-628-6038"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Plaza Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jourdanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.