Timothy K Duffin MD PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26846 Issued in TN

Legal business name

TIMOTHY K DUFFIN MD PLC

Practice address

800 Weatherly Drive
100-L
Clarksville, TN 37043-4521

Phone

(931) 553-2800

Fax

(931) 553-0664

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy K Duffin, M.D.NPI 1144291527

Title

Owner

Phone

(931) 553-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy K Duffin, MD

  • Urology Physician
  • Clarksville, TN
  • NPI 1144291527
  NPD Authorized official
• Cortney M Bryant, P.A.-C

  • Physician Assistant
  • Hendersonville, TN
  • NPI 1285060251
  NPD
• Dino A Delaurentis, DO

  • Urology Physician
  • Clarksville, TN
  • NPI 1235143025
  NPD
• Vidhush Yarlagadda, M.D.

  • Urology Physician
  • Clarksville, TN
  • NPI 1700297553
  NPD

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1740483767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR",
            "address_2": "100-L",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438957",
            "telephone_number": "931-553-2800",
            "fax_number": "931-553-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DRIVE",
            "address_2": "100-L",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434521",
            "telephone_number": "931-553-2800",
            "fax_number": "931-553-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY K DUFFIN MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "DUFFIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-553-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "26846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3723229",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Tidwell
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• Ashley Tinch
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• Denise Renee Tittle, D.O.
• Sheri Tittle

• Specialist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.