Timothy James Deahl, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H6157 Issued in TX

Practice address

260 Ih 45 S
Suite B
Huntsville, TX 77340-4958

Phone

(936) 291-2557

Fax

(936) 291-2688

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Timothy James Deahl Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdeahl@yourcarecommunity.org

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

• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Westover Hills Women'S Health PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1477765824
  Medicare reassignment NPD
• BSZ Medical, P.a.

  • Family Medicine Physician
  • Pleasanton, TX
  • NPI 1285934075
  Medicare reassignment
• Christus Santa Rosa Health Care Corporation

  • Children's Hospital
  • San Antonio, TX
  • NPI 1821004151
  NPD (past)
• Sam Houston Cancer Center LP

  • Radiation Oncology Physician
  • Huntsville, TX
  • NPI 1972798072
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1255331864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 IH 45 S",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404958",
            "telephone_number": "936-291-2557",
            "fax_number": "936-291-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 IH 45 S",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404958",
            "telephone_number": "936-291-2557",
            "fax_number": "936-291-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAHL",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131686101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "DEAHL",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David L Rex MD PA
• David R. Ficklen, M.D., P.a.
• Stormy Ashley Davila
• Stephen Earl Davis, D.D.S.
• Day N Night Medical Supply L.P
• Anna Deborde
• Evaristo Jamero Decena II, FNP-BC
• Tammy Decker
• Paulette Declouet
• Dejean & Kuglen Eye Associates, LLP

• Obstetrics & Gynecology Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.