JANET K TILLISCH MD NPI 1417988163

NPI Information

NPI: 1417988163
Provider Name: JANET K TILLISCH, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103
Phone: (701) 364-3300
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Janet K Tillisch, MD is a pediatrics in Fargo, ND. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Janet K Tillisch, MD NPI is 1417988163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1702 UNIVERSITY DR S
FARGO, ND
ZIP 58103-940
Phone: (701) 364-3300
Fax: (701) 364-8906

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		4237	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1201797	OTHER	NORTH DAKOTA	MEDICA #
2	142074	OTHER	NORTH DAKOTA	UCARE #
3	8253	OTHER	NORTH DAKOTA	SIOUX VALLEY #
4	ND100012	OTHER	NORTH DAKOTA	LHS #
5	1203181	OTHER	NORTH DAKOTA	MEDICA #
6	D64143	MEDICARE UPIN	NORTH DAKOTA
7	DA9011015596	OTHER	NORTH DAKOTA	PREFERRED ONE #
8	91423TI	OTHER	NORTH DAKOTA	MNBS #
9	1201177	OTHER	NORTH DAKOTA	MEDICA #
10	6419	OTHER	MINNESOTA	NDBS #
11	28064TI	OTHER	NORTH DAKOTA	MNBS #
12	1877	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
13	HP19569	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
14	015795300	MEDICAID	NORTH DAKOTA
15	1877	OTHER	NORTH DAKOTA	NDBS #
16	765120	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
17	10168	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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