Timothy M Killough MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C7302 Issued in AR

Legal business name

TIMOTHY M KILLOUGH MD PA

Doing business as

Westside Family Medical Clinic

Practice address

103 Woodlane Dr
Searcy, AR 72143

Phone

(501) 268-3733

Fax

(501) 207-6139

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Timothy M Killough, MD

Title

Owner Physician

Phone

(501) 268-3733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westside Family Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1922111780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WOODLANE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-268-3733",
            "fax_number": "501-207-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WOODLANE DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-268-3733",
            "fax_number": "501-207-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M KILLOUGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "KILLOUGH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "501-268-3733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115507001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephen R. Toothaker, M.D.

• Family Medicine Physician in Searcy, AR
• Providers in Searcy, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.