DR. STEVEN GARY TILLETT (NPI# 1134102320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134102320 |
| Entity Type | Individual |
| Full Name | DR. STEVEN GARY TILLETT |
| Credential | D.P.M. |
| Practice Address |
6274 Sw Capitol Hwy Portland OR 97239-2674 |
| Practice Telephone | 5032462212 |
| Mailing Telephone | 5032462212 |
| Mailing Fax Number | 5032464050 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DP00300 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 227113 | 05 | |
| OR | OMAP | 227113 | 01 |
| BC | 831001001 | 01 | |
| RR MEDICARE | 480031007 | 01 |
| Street Address |
6274 SW CAPITOL HWY |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780097089 | Jeffery L Wing | Reflexologist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2014-06-04 |
| 1346593084 | Hillsdale Naturopathic and Wellness Center | Naturopath | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2012-10-18 |
| 1164734018 | Amy Barrett Lindholm | Counselor | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2010-07-08 |
| 1336381169 | Mathews Acupuncture LLC | Acupuncturist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2009-03-25 |
| 1275705428 | Astrid H Green | Counselor | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2008-03-27 |
| 1477767614 | Centre Point Physical Therapy, LLC | Clinic/Center | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2007-05-09 |
| 1710017256 | Ankle and Foot Centers PC | Podiatrist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2007-03-06 |
| 1023188653 | Nancy J. Pitney | Nurse Practitioner | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2006-11-09 |
| 1114970019 | Elaine Bayes Gillaspie | Naturopath | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2006-05-19 |
| 1871556472 | Patricia Anne Sullivan | Dentist | 6274 Sw Capitol Hwy, Portland, OR 97239-2674 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942064 | Lester Tengsico LLC | Podiatrist | 10424 Se Cherry Blossom Dr Ste F, Portland, OR 97216-2825 | 2009-01-12 |
| 1811006596 | Joshua P Mitnick | Podiatrist | 8305 Se Monterey Ave., #101, Portland, OR 97266 | 2006-08-29 |
| 1760434674 | David C Greenberg | Podiatrist | 948 Ne 102nd Ave, Suite 103, Portland, OR 97220-4064 | 2006-05-17 |
| 1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
| 1780650408 | Robert S Juris | Podiatrist | 68 Marginal Way, 4th Fllor, Portland, ME 04101-2444 | 2006-02-23 |
| 1881669836 | Danforth S Desena | Podiatrist | 68 Marginal Way, 4th Floor, Portland, ME 04101-2444 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083991400 | Larry D Jensen Dpm PC | Podiatrist | 11815 Sw King James Pl, Suite 60, Tigard, OR 97224-2478 | 2011-11-14 |
| 1346347432 | Brian Douglas Ashdown | Podiatrist | 2605 Willetta St Sw Ste D2, Albany, OR 97321-3451 | 2006-09-20 |
| 1356452247 | Stephen Fekete | Podiatrist | 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070-6482 | 2006-08-31 |
| 1851383269 | Larry Dean Jensen | Podiatrist | 11815 Sw King James Place, Suite 60, Tigard, OR 97224 | 2005-08-22 |
| 1790295228 | Clarke Podiatry, LLC | Podiatrist | 113 S Main St, Milton Freewater, OR 97862-1342 | 2017-10-11 |
| 1518146984 | Patricia Eileen Cain | Podiatrist | 1510 Division St, Suite 80, Oregon City, OR 97045-1581 | 2007-11-01 |
| 1891980546 | Southern Oregon Foot & Ankle, LLC | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2007-09-06 |
| 1740335728 | Darrin Lee Dallegge | Podiatrist | 330 S Garden Way, Suite 350, Eugene, OR 97401-8176 | 2007-01-23 |
| 1639260318 | Joseph David Neary | Podiatrist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-27 |
| 1295849206 | Michael Jackson Matthews | Podiatrist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.