Organization Active NPI

William T Timmons

Doing business as The Jasper Women's Clinic

  • Obstetrics & Gynecology Physician
  • Jasper, TX
National Provider Identifier
1235320904
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E4720 Issued in TX
Legal business name
WILLIAM T TIMMONS
Doing business as
The Jasper Women's Clinic
Practice address
2014 S Wheeler St
Suite 130
Jasper, TX 75951-5624
Phone
(409) 384-6000
Fax
(409) 384-2026
NPI assigned
Aug 7, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Glenda G Waguspack
Title
Office Manager
Phone
(409) 384-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E4720 TX Primary

Addresses

Primary practice location

2014 S Wheeler St
Suite 130
Jasper, TX 75951-5624

Mailing address

2014 S Wheeler St
Suite 130
Jasper, TX 75951-5624
Phone (409) 384-6000

Other identifiers 3

IdentifierTypeStateIssuer
10110570OtherTXDPS
E4720OtherTXSTATE LICENSE
00AJ43OtherTXBLUE CROSS/SLUE SHIELD

Other names 1

  • THE JASPER WOMEN'S CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235320904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S WHEELER ST",
            "address_2": "SUITE 130",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515624",
            "telephone_number": "409-384-6000",
            "fax_number": "409-384-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S WHEELER ST",
            "address_2": "SUITE 130",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515624",
            "telephone_number": "409-384-6000",
            "fax_number": "409-384-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T TIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WAGUSPACK",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-384-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E4720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "10110570",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4720",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SLUE SHIELD",
            "identifier": "00AJ43",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE JASPER WOMEN'S CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.