Timothy William Teel, D.O.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

S4404 Issued in TX

Practice address

707 Hollybrook Dr
Longview, TX 75605-2410

Phone

(903) 291-6194

Fax

(903) 291-6195

NPI assigned

Feb 27, 2009

Last updated

Feb 23, 2021By 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)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1891935029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610393",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752610393",
            "telephone_number": "903-291-6187",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HOLLYBROOK DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052410",
            "telephone_number": "903-291-6194",
            "fax_number": "903-291-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEL",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S4404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G Taylor, MD
• Tracy Hunter Taylor, APRN, PMHNP-BC
• Brittney Teafatiller
• Tee Jays Enterprise LLC, Dba All N One Lab (All N One Lab)
• Brianna Renee Teel, M.D.
• Kadijah Templeton
• Elizabeth Hope Terry, APRN, FNP-BC
• Texas Home Health Hospice, L.P. (AccentCare Hospice & Palliative Care of Texas)
• Texas Home Health Skilled Services, LP (AccentCare Home Health of Texas)
• Texas Physician Services, PLLC

• Otolaryngology Physician in Longview, TX
• Providers in Longview, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.