Timothy Joseph Weatherall, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

56269 Issued in TN

Practice address

1385 W Brierbrook Rd
Germantown, TN 38138-2208

Phone

(901) 390-2930

NPI assigned

Jun 6, 2012

Last updated

Jul 31, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN

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

Interoperability endpoints

• Direct secure messaging: timothyweatherall@vvis.allscriptsdirect.net

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1255692224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W BRIERBROOK RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382208",
            "telephone_number": "901-390-2930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1385 W Brierbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381382208",
            "country_code": "US",
            "telephone_number": "901-390-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERALL",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "56269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Warren, CBD, CCE, CLC
• Angela Yanae Washington, DDS
• Alicia Ann Wass, M.A., CCC-SLP
• Curtis Watson
• Alivia Watts, APRN
• Mark W Weatherly, MD
• Dianna Webb, PTA
• Nalisha M Webb, FNP
• Ben P. Webber, M.D.
• Sherry Webster, PT

• Vascular Surgery Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.