Timothy Patrick Connall, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

24098 Issued in OR

Practice address

19801 SW 72ND Ave
Suite 160
Tualatin, OR 97062-8351

Phone

(503) 783-0544

NPI assigned

Aug 28, 2007

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Meridian Center for Surgical Excellence

  • Ambulatory Surgical Clinic/Center
  • Tualatin, OR
  • NPI 1366638843
  Authorized official Same address or phone
• Timothy P Connall MD PC

  • Plastic and Reconstructive Surgery Physician
  • Tualatin, OR
  • NPI 1295187482
  NPD (past) Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1336333830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 SW 72ND AVE",
            "address_2": "SUITE 160",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628351",
            "telephone_number": "503-783-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 SW 72ND AVE",
            "address_2": "SUITE 160",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628351",
            "telephone_number": "503-783-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALL",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Craig Collison, DPT
• Brandon Colwell
• Compassionate Caregivers Homecare LLC (Synergy Homecare of Tualatin)
• Allard J. Conger, MD
• Breanda J. Conley, MA, LPC
• Amanda R Conner, BAI
• Roger Cook, PHD
• Rychel Rae Cor, PSYD
• Corinne Lazo LMT, LLC
• Jovani Corona

• Plastic and Reconstructive Surgery Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Plastic and Reconstructive Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.