P Praxis·MD
● Active Type 1 · Individual

Timothy James Immonen, D.O.

Obstetrics & Gynecology·Fort Worth, TX· NPI 1730614793 · Enumerated 2017 · 9 years on NPI
Immonen is 1 of 18 obstetrics & gynecology providers in Fort Worth and 1 of 350 in Texas.
NPI age
9 years
Enumerated 2017-04-27
Primary specialty
Obstetrics & Gynecology
Plus 2 subspecialties
Licensed in
MI, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 350 active obstetrics & gynecology providers in Texas.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
2
In the 56% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
1500 S Main St
Fort Worth, TX 761044917
📞 8177021100fax 8177022140
Mailing address
Po Box 732973
Dallas, TX 753736901

Additional practice locations

1 secondary location on file with NPPES.

Location 2
535 Nw 9th St, #220
Oklahoma City, OK 731021070
📞 4052728498fax 4052728425

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
    MI license #5101027095 taxonomy 207VM0101X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    OH license #34.015859 taxonomy 207V00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 958 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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