THERESA MAE TILTON MD NPI 1497752588

NPI Information

NPI: 1497752588
Provider Name: THERESA MAE TILTON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3021 WINDERMERE ROAD
LEXINGTON, KY
ZIP 40502
Phone: (859) 278-5270
Get Directions

Theresa Mae Tilton, MD is a diagnostic radiology radiology in Lexington, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Theresa Mae Tilton, MD NPI is 1497752588. 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:

3021 WINDERMERE ROAD
LEXINGTON, KY
ZIP 40502-950
Phone: (859) 278-5270
Fax: (229) 928-3492

The NPI 1497752588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2005 and was last updated on 2/15/2012.

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	2085R0202X	Radiology	Diagnostic Radiology	ME74267	FLORIDA	No
2	2085R0202X	Radiology	Diagnostic Radiology	34103	KENTUCKY	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	300138462	OTHER		RR
2	263513500	MEDICAID	FLORIDA
3	64927270	MEDICAID	KENTUCKY
4	00501001	MEDICARE PIN	KENTUCKY
5	P00922044	OTHER	KENTUCKY	RXR MEDICARE
6	42591Y	MEDICARE PIN	FLORIDA
7	488628	MEDICAID	ARIZONA
8	221123800	MEDICAID	MARYLAND
9	P400037141	MEDICARE PIN	KENTUCKY
10	F07856	MEDICARE UPIN
11	808323500	MEDICAID	IDAHO
12	42591	OTHER		BCBS
13	03083272	MEDICAID	NEW YORK

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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