NPIMap

Individual provider Active NPI

Timothy C Gilligan, DO

  • Surgery Physician
  • Fort Cavazos, TX
National Provider Identifier
1891216594
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U5108 Issued in TX
Practice address
590 Medical Center Rd.
Fort Cavazos, TX 76544
Phone
(908) 303-4769
NPI assigned
Jul 3, 2017
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U5108 TX Primary

Addresses

Primary practice location

590 Medical Center Rd.
Fort Cavazos, TX 76544

Mailing address

590 Medical Center Rd.
Fort Cavazos, TX 76544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, SD, ND4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240102001543 TX Practitioner - General Surgery 7315397452 Reassigns benefits to 2 organizations
I20240702004081 WY Practitioner - General Surgery 7315397452 Reassigns benefits to 1 organization
I20240923003792 SD Practitioner - General Surgery 7315397452 Reassigns benefits to 1 organization
I20241226000646 ND Practitioner - General Surgery 7315397452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Practice addresses (Care Compare)

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5108TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 16, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jul 16, 2024 Accepting new patients
McAllen Hospitalist Group, PLLC Surgery CurrentSince Nov 26, 2023 Accepting new patients
Memorial Hospital of Converse County CurrentSince Jul 1, 2024 Accepting new patients
Texas Specialty Physicians Surgery CurrentSince Sep 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Dec 23, 2024 Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Dec 23, 2024 Accepting new patients
Texas Specialty Physicians CurrentSince Sep 1, 2025 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Coal Country Community Health Center Past Accepting new patients

Locations

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

4002 S Loop 256
Ste S
Palestine, TX 75801
Phone (903) 729-2428

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

Organizations & group practices 11

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1891216594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD.",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER RD.",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "908-303-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Cavazos, TX

Sources for this page

Verify at the official NPI Registry.