GUY W. TILLINGHAST (NPI# 1205853793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205853793 |
| Entity Type | Individual |
| Full Name | GUY W. TILLINGHAST |
| Credential | M.D. |
| Practice Address |
12100 Warwick Blvd Suite 201 Newport News VA 23601-2365 |
| Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
| Practice Telephone | 7575345555 |
| Practice Fax Number | 7575345566 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101231733 | VA | Other Service Providers |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD21709 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1205853793 | 05 |
| Street Address |
12100 WARWICK BLVD SUITE 201 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565315 | Biral S Amin | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2006-04-03 |
| 1679979744 | Riverside Hospital, Inc | General Acute Care Hospital | 12100 Warwick Blvd, Suite 210b, Newport News, VA 23601-2365 | 2014-11-17 |
| 1215343470 | Ellyn Reynell Amato | Nurse Practitioner | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2014-07-09 |
| 1730453424 | Asheley Supik | Genetic Counselor, MS | 12100 Warwick Blvd, Suite 101, Newport News, VA 23601-2365 | 2012-02-28 |
| 1902182231 | Riverside Physician Services Inc | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2011-11-01 |
| 1992856579 | George Joy Kannarkat | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601 | 2007-01-12 |
| 1174545107 | Flavia Esteve Kostov | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-25 |
| 1609893130 | Mashour Yousef | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-17 |
| 1861418410 | Riverside Physician Services Inc | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601 | 2006-07-15 |
| 1588628580 | William Paul Irvin | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770996373 | Fady Mamdouh Fayek Tawadros | Internal Medicine | 6719 Gov Gc Peery Hwy Ste 1250, Richlands, VA 24641-0379 | 2014-06-11 |
| 1750700209 | Ko Ko Maung | Internal Medicine | 7544 Medical Dr Ste B, Gloucester, VA 23061-4299 | 2014-04-14 |
| 1942628458 | Joshua Allen | Internal Medicine | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2014-04-01 |
| 1841549953 | Maryview Hospital | Internal Medicine | 7185 Harbour Towne Pkwy S Ste 105, Suffolk, VA 23435-3796 | 2012-09-05 |
| 1417164476 | Farn Chan | Internal Medicine | 2280 Opitz Blvd Ste 220, Woodbridge, VA 22191-3362 | 2007-05-17 |
| 1063639011 | John Nhu Khuu | Internal Medicine | 44045 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5101 | 2007-04-19 |
| 1841372356 | Pranav D. Patel | Internal Medicine | 545 Sunset Ln, Culpeper, VA 22701-3914 | 2006-10-20 |
| 1386687358 | Robert Gary Fenton | Internal Medicine | 6400 Arlington Blvd Ste 940, Falls Church, VA 22042-2336 | 2006-06-14 |
| 1073556718 | Drury M Stith | Internal Medicine | 10085 William F. Bernart Circle, Nassawadox, VA 23413 | 2006-06-13 |
| 1114996170 | Manoel Moraes Jr. | Internal Medicine | 44055 Riverside Pkwy Ste 224, Lansdowne, VA 20176-5177 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
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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.