Individual provider Active NPI

Wuroh Timbo, MD

  • Pediatrics Physician
  • McGaheysville, VA
National Provider Identifier
1487994950
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101264821 Issued in VA
Practice address
9982 Spotswood TRL
McGaheysville, VA 22840-2421
Phone
(540) 437-3740
Fax
(540) 289-3810
NPI assigned
Feb 21, 2013
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101264821 VA Primary

Addresses

Primary practice location

9982 Spotswood TRL
McGaheysville, VA 22840-2421

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220801000687 TX Practitioner - Pediatric Medicine 9032469960 Reassigns benefits to 1 organization
I20241111001226 VA Practitioner - Pediatric Medicine 9032469960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101264821VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Aug 9, 2024 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Aug 29, 2022 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Aug 29, 2022 Accepting new patients

Locations

1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426

1500 W Rosedale St
#150
Fort Worth, TX 76104

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1872 N Lake Forest Dr
McKinney, TX 75071
Phone (214) 592-0701

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1947 Medical Ave
Harrisonburg, VA 22801
Phone (540) 434-3004

9982 Spotswood Trl
McGaheysville, VA 22840
Phone (540) 437-3740

Interoperability endpoints

  • Direct secure messaging: wtimbo644665@direct.healthsystem.virginia.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1487994950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9982 SPOTSWOOD TRL",
            "city": "MCGAHEYSVILLE",
            "state": "VA",
            "postal_code": "228402421",
            "telephone_number": "540-437-3740",
            "fax_number": "540-289-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMBO",
        "first_name": "WUROH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101264821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McGaheysville, VA

Sources for this page

Verify at the official NPI Registry.