Timothy E Morthland, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-114335 Issued in IL

Practice address

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718

Phone

(618) 253-7671

NPI assigned

Jun 16, 2006

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

Medicare fee-for-service enrollment

Enrolled in IL

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmorthland@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.

• Statera Health Care, LLC

  • Emergency Medicine Physician
  • Harrisburg, IL
  • NPI 1043874449

  IL

  Medicare reassignment NPD
• David F Szoke MD,

  • Primary Care Clinic/Center
  • Benton, IL
  • NPI 1811385347
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1255375515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628960159",
            "telephone_number": "618-218-3560",
            "fax_number": "618-551-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DR WARREN TUTTLE DR",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462718",
            "telephone_number": "618-253-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 South 14th St.",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171",
            "fax_number": "618-351-4929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11057 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "West Frankfort",
            "state": "IL",
            "postal_code": "628964901",
            "country_code": "US",
            "telephone_number": "779-216-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTHLAND",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-114335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114335",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyleen E Millenbine, DPT
• Krysta Ann Mitchell, FNP-C
• Jessica J Morber, MS, CCC-SLP
• Mary Lynn Morber, PTA
• Joshua Travis Morris, COTA/L
• Katherine M Mosier, RN
• Elliott Mummert, PHARMD
• Kendrea Faith Myers, LMT
• Catherine R Nevels, FNP
• Nicholas E Oldham LLC

• All providers in Harrisburg, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.