Timarron Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4265 Issued in TX

Legal business name

TIMARRON FAMILY MEDICINE PA

Practice address

200 Pecan CRK
Southlake, TX 76092-6371

Phone

(817) 481-4739

Fax

(817) 481-5198

NPI assigned

May 9, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Renee Barton

Title

Practice Manager

Phone

(817) 481-4739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Murphy King, MD

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1750382461
  Medicare reassignment Care Compare group NPD
• Lori Massey King, MD

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1891796074
  Medicare reassignment Care Compare group NPD
• Nicole Ann Bray, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1013050533
  Medicare reassignment
• Kylie Alexandra Crouse, PA

  • Physician Assistant
  • Southlake, TX
  • NPI 1265003719
  Medicare reassignment
• Vincent Anthony Feller, PA-C

  • Physician Assistant
  • Bridgeport, TX
  • NPI 1295782498
  NPD (past)
• Katy Rodriguez, PA-C

  • Physician Assistant
  • Irving, TX
  • NPI 1174883938
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1073727368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PECAN CRK",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926371",
            "telephone_number": "817-481-4739",
            "fax_number": "817-481-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PECAN CRK",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926371",
            "telephone_number": "817-481-4739",
            "fax_number": "817-481-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMARRON FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-481-4739",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Now Services Inc
• Stephanie C Thurston, PHD, LPC-S, LSOTP
• Richard David Thwaites, DC
• Candy Rose Tibbs
• Steven Alexander Tijmes, DO
• Timothy Adams, M.D., P.a.
• Timothy M. Huckabee, DDS, PC
• Gwen Tinkis, NP
• Alexandra Tique-Montenegro, LCSW
• Catherine Tito, M.A. LPC INTERN

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.