DR. RICK WILLIAM TILLER (NPI# 1134190614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134190614 |
| Entity Type | Individual |
| Full Name | DR. RICK WILLIAM TILLER |
| Credential | D.P.M. |
| Practice Address |
1212 S Park St Kalamazoo MI 49001-5600 |
| Practice Telephone | 2693440874 |
| Practice Fax Number | 2693447256 |
| Mailing Telephone | 2693440874 |
| Mailing Fax Number | 2693447256 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 001551 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DME | 0432570002 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 480C97640 | 01 |
| MI | RAILROAD MEDICARE | N79480001 | 01 |
| MI | BLUE CARE NETWORK | 480C97640 | 01 |
| MI | 2756308 | 05 | |
| MI | BLUE CROSS BLUE SHIELD MI | 5395009 | 01 |
| Street Address |
1212 S PARK ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326345885 | Milwood Spine Center LLC | Chiropractor | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2011-02-18 |
| 1346307576 | Geoffrey Chau | Chiropractor | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2007-01-03 |
| 1780763870 | Kalamazoo Foot Surgery, P.C. | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-11-02 |
| 1053383398 | Geoffrey Earl Clapp | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-02-02 |
| 1811968381 | Douglas Frank Brewer | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477658623 | Mohammed Jamaluddin | Podiatrist | 6304 Saddle Ridge Ct, Kalamazoo, MI 49009-4000 | 2006-09-13 |
| 1881798817 | David Anthony Boyce | Podiatrist | 4321 Gull Prairie Dr, Apt 3a, Kalamazoo, MI 49048-3046 | 2006-09-11 |
| 1912976978 | Tamara Marie Whitaker Bay | Podiatrist | 515 Howard Street, Kalamazoo, MI 49008-1917 | 2006-03-14 |
| 1295911253 | Steven L Keyte Dpm PC | Podiatrist | 4415 Duke St, Kalamazoo, MI 49008-3224 | 2008-01-21 |
| 1639394851 | Kalamazoo Podiatry PC | Podiatrist | 333 Turwill Ln, Kalamazoo, MI 49006-5225 | 2007-04-14 |
| 1780763870 | Kalamazoo Foot Surgery, P.C. | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-11-02 |
| 1427163062 | Steven Lee Keyte | Podiatrist | 4415 Duke St, Kalamazoo, MI 49008-3224 | 2006-08-21 |
| 1053383398 | Geoffrey Earl Clapp | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-02-02 |
| 1811968381 | Douglas Frank Brewer | Podiatrist | 1212 S Park St, Kalamazoo, MI 49001-5600 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| 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.