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STEVEN J TILLES PA NPI 1629248224


NPI Information

NPI: 1629248224
Provider Name: STEVEN J TILLES PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
7131 LIBERTY RD
SUITE 100
BALTIMORE, MD
ZIP 21207
Phone: (410) 944-4000
Get Directions

STEVEN J TILLES PA is a podiatrist in Baltimore, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. STEVEN J TILLES PA NPI is 1629248224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7131 LIBERTY RD
SUITE 100
BALTIMORE, MD
ZIP 21207-580
Phone: (410) 944-4000
Fax: (410) 281-1181

The provider's authorized official is Steven J Tilles .
The authorized official title is Podiatrist and has the following contact phone number (410) 944-4000.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 7/26/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist402MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T1655JMEDICARE PINMARYLAND
2T59849MEDICARE UPINMARYLAND
3600928001MEDICAIDMARYLAND
40996760001MEDICARE NSCMARYLAND

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

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