Individual provider Active NPI

Timothy Rollans Tappana, D.O.

  • Internal Medicine Physician
  • Weatherford, TX
National Provider Identifier
1164962346
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CDR.0001155 Issued in CO
Practice address
713 E Anderson St
Weatherford, TX 76086-5705
Phone
(682) 582-2921
Fax
(817) 598-4799
NPI assigned
Mar 7, 2017
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10058707 TX
Internal Medicine Physician 207R00000X CDR.0001155 CO Primary
General Practice Physician 208D00000X 11701322 UT
Hospitalist Physician 208M00000X CDR.0001155 CO

Addresses

Primary practice location

713 E Anderson St
Weatherford, TX 76086-5705

Mailing address

713 E Anderson St
Weatherford, TX 76086-5705
Phone (682) 582-2921

Other practice location 1

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20210127001856 UT Practitioner - Internal Medicine 9931478138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Uintah Basin Medical CenterGroup PAC ID 0244131944, shared by 9 NPIs, 62 clinicians

Practice addresses (Care Compare)

1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1958

150 W 100
Vernal, UT 84078-2036
Phone (435) 781-1200

210 W 300
Roosevelt, UT 84066-2336

250 W 300
75 2
Roosevelt, UT 84066-2336
Phone (435) 722-4691

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11701322UTMDGeneral Practice Physician
CDR.0001155COMDHospitalist Physician
BP10058707TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Nov 29, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 22, 2019 Accepting new patients
Vpa of Texas PLLC General Practice CurrentSince Apr 27, 2019 Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Oct 22, 2020 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 29, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 27, 2019 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
Ashley Valley Physician Practice, LLC Internal Medicine Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Sep 7, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 22, 2019 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Mar 1, 2021 Accepting new patients
Ashley Valley Physician Practice, LLC CurrentSince Oct 22, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Sep 7, 2022 Accepting new patients
Ashley Valley Physician Practice, LLC Internal Medicine Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

150 W 100 N
Vernal, UT 84078
Phone (435) 789-3342

175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • Direct secure messaging: jmu6355@yourcarecommunity.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 6

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1164962346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "682-582-2921",
            "fax_number": "817-598-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "682-582-2921",
            "fax_number": "817-598-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 N Nevada Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076819",
            "country_code": "US",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPPANA",
        "first_name": "TIMOTHY",
        "middle_name": "ROLLANS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10058707",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0001155",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "11701322",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDR.0001155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.