Active NPI
Timothy Linck Duncan
- Emergency Medicine Physician
- Vernal, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13194362-1205
- Practice address
- 405 N 500 W
Vernal, UT 84078-1907 - Phone
- (435) 789-4691
- Fax
- (435) 722-9291
- NPI assigned
- Mar 22, 2020
- Last updated
- Jan 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 13194362-1205 | UT | Primary |
Addresses
Primary practice location
405 N 500 W
Vernal, UT 84078-1907
Mailing address
250 W 300 N
Roosevelt, UT 84066-2351
Phone (435) 725-7448
Other practice location 1
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 293-2436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uintah Basin Medical Center | Current | Accepting new patients | |
| Uintah Basin Medical Center | Current | Accepting new patients | |
| West Virginia Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
Locations
250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1952776379
-
dba Uintah Basin Healthcare Vernal Pharmacy
- Community/Retail Pharmacy
- Vernal, UT
- NPI 1285420414
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
dba Uintah Basin Medical Center Vernal
- General Acute Care Hospital
- Vernal, UT
- NPI 1881447571
-
dba UBMC Physical Therapy
- Physical Therapy Clinic/Center
- Ballard, UT
- NPI 1912750662
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1235765108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 300 N",
"city": "ROOSEVELT",
"state": "UT",
"postal_code": "840662351",
"telephone_number": "435-725-7448",
"fax_number": "435-722-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N 500 W",
"city": "VERNAL",
"state": "UT",
"postal_code": "840781907",
"telephone_number": "435-789-4691",
"fax_number": "435-722-9291"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265061200",
"country_code": "US",
"telephone_number": "304-293-2436",
"fax_number": "304-293-6702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "TIMOTHY",
"middle_name": "LINCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "13194362-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.