Active NPI
Timothy Wierson, M.D.
- Surgery Physician
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26264
- Practice address
- 484 Golden Autumn Way Ste 201
Bowling Green, KY 42103 - Phone
- (270) 783-3340
- Fax
- (270) 780-0492
- NPI assigned
- Jun 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26264 | KY | Primary |
Addresses
Primary practice location
484 Golden Autumn Way Ste 201
Bowling Green, KY 42103
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-5111
Other practice location 1
350 Park St
Bowling Green, KY 42101-1784
Phone (270) 781-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64262645 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Park St
Bowling Green, KY 42101-1784
825 2ND Ave
Suite C1
Bowling Green, KY 42101-1791
Phone (270) 780-2690
Hospital & facility affiliations
- The Medical Center (Bowling Green)
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 30 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26264 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowling Green-Warren County Community Hospital Corporation | Surgery | Current | Accepting new patients |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Bowling Green-Warren County Community Hospital Corporation | Past | Accepting new patients |
Locations
2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
825 2nd Ave
Ste C1
Bowling Green, KY 42101
Phone (270) 780-2690
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
350 Park St
Ste 206
Bowling Green, KY 42101
Phone (270) 746-0440
350 Park St
Bowling Green, KY 42101
Phone (270) 783-3364
484 Golden Autumn Way
Ste 201
Bowling Green, KY 42103
Phone (270) 783-3300
Organizations & group practices 9
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.
-
- Neurology Physician
- Bowling Green, KY
- NPI 1942990767
-
- Neurology Physician
- Bowling Green, KY
- NPI 1881109304
-
- Specialist
- Bowling Green, KY
- NPI 1114948288
-
- Surgery Physician
- Bowling Green, KY
- NPI 1154196137
-
- Hematology & Oncology Physician
- Bowling Green, KY
- NPI 1891652343
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1205085495
-
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1295731602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011759",
"telephone_number": "270-781-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 GOLDEN AUTUMN WAY STE 201",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42103",
"telephone_number": "270-783-3340",
"fax_number": "270-780-0492"
}
],
"practiceLocations": [
{
"address_1": "350 Park St",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421011784",
"country_code": "US",
"telephone_number": "270-781-5111",
"fax_number": "270-780-0478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIERSON",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "26264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64262645",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.
- 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.