Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Legg

Individual provider Medical Physician Assistant · NPI 1417598293

Timothy Legg is a Physician Assistant in Laverne, Oklahoma. Qualified in 2019, 7 years ago. Practices with The Physicians Group, LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019

Practice location Address checks out

7TH & Oklahoma Ste 5
Laverne, OK 73848-0987
Phone: (580) 921-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3169 (OK)

Record details

NPI number1417598293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 336, Buffalo, OK 73834-0336

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Physicians Group, Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare