DAVID TILLER MD NPI 1336155373

NPI Information

NPI: 1336155373
Provider Name: DAVID TILLER, MD
Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Individual

Specialization: Forensic Psychiatry

Address:
2601 SPENCER RD
SPENCER, OK
ZIP 73084
Phone: (405) 427-2441
Get Directions

David Tiller, MD is a forensic psychiatry psychiatry neurology in Spencer, OK. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. David Tiller, MD NPI is 1336155373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2601 SPENCER RD
SPENCER, OK
ZIP 73084-649
Phone: (405) 427-2441
Fax: (405) 427-4741

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/30/2014.

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	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	26522	OKLAHOMA	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 Issuer
1	P00115455	OTHER	RAILROAD MEDICARE
2	MDG232	OTHER	PREFERRED CARE
3	P010204490	OTHER	BLUE CHOICE
4	C51962	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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