Active NPI
Timothy Charles Abigail, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Richardson, TX
National Provider Identifier
1669409793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1080
- Practice address
- 3201 E President George Bush Hwy
Suite 106
Richardson, TX 75082-3566 - Phone
- (214) 217-3668
- NPI assigned
- Jun 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1080 | TX | Primary |
| Podiatrist | 213E00000X | 1080 | TX |
Addresses
Primary practice location
3201 E President George Bush Hwy
Suite 106
Richardson, TX 75082-3566
Mailing address
3201 E President George Bush Hwy
Suite 106
Richardson, TX 75082-3566
Phone (214) 217-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Partners PLLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1669409793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 E PRESIDENT GEORGE BUSH HWY",
"address_2": "SUITE 106",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823566",
"telephone_number": "214-217-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 E PRESIDENT GEORGE BUSH HWY",
"address_2": "SUITE 106",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823566",
"telephone_number": "214-217-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABIGAIL",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1080",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.