Organization Active NPI

Timothy L Huggins, M.D., P.a.

  • Specialist
  • Weatherford, TX
National Provider Identifier
1194748053
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TIMOTHY L HUGGINS, M.D., P.A.
Practice address
1212 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5802
Phone
(817) 341-3300
Fax
(817) 341-3311
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Lebron Huggins, MDNPI 1033101829
Title
President
Phone
(817) 341-3300

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1212 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5802

Mailing address

1212 Clear Lake Rd
Suite 100
Weatherford, TX 76086-5802
Phone (817) 341-3300

Other identifiers 1

IdentifierTypeStateIssuer
171261401MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510001222 TX Part B Supplier - Clinic/Group Practice 4486643996 Receives reassigned benefits from 4 practitioners
Practice locations: Weatherford, TX

National Provider Directory

National Provider Directory

Locations

1205 Medical Plaza Ct
Granbury, TX 76048
Phone (817) 573-4123

1212 Clear Lake Rd
Ste 100
Weatherford, TX 76086
Phone (817) 341-3300

Practitioners & affiliated clinicians

Practitioners 5

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194748053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CLEAR LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865802",
            "telephone_number": "817-341-3300",
            "fax_number": "817-341-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CLEAR LAKE RD",
            "address_2": "SUITE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865802",
            "telephone_number": "817-341-3300",
            "fax_number": "817-341-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L HUGGINS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGGINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEBRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-341-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171261401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.