ABSALOM H TILLEY (NPI# 1275558918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275558918 |
| Entity Type | Individual |
| Full Name | ABSALOM H TILLEY |
| Credential | M.D. |
| Practice Address |
1003 Schneider Dr Malvern AR 72104-4811 |
| Practice Telephone | 5013375678 |
| Practice Fax Number | 5013326759 |
| Mailing Telephone | 5013375678 |
| Mailing Fax Number | 5013326759 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 36912 | OK | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | C7758 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 117040001 | 05 |
| Street Address |
1003 SCHNEIDER DR |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881132363 | Lonnie Harrison, Pa | Specialist | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2017-02-06 |
| 1376805911 | Mendy Beth Corter | Physician Assistant | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2012-06-11 |
| 1922230614 | Gina Zareena Khan Tilley | Family Medicine | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2009-08-14 |
| 1326282799 | Sarah Marie Williams | Nurse Practitioner | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2009-04-28 |
| 1609979426 | Dara M Mooney | Physician Assistant | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2006-09-07 |
| 1831108331 | Tilley Diagnostic Clinic | Internal Medicine | 1003 Schneider Dr, Malvern, AR 72104-4811 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881000651 | Vinod K. Thangada, Md, PC | Internal Medicine | 5 Frame Ave, Suite 204, Malvern, PA 19355-1520 | 2014-07-01 |
| 1881809770 | Douglas James Moeller | Internal Medicine | 5 Country View Rd, Malvern, PA 19355-1421 | 2007-05-14 |
| 1598988347 | Helise Bichefsky, Do | Internal Medicine | 32 Raffaela Drive, Malvern, PA 19355 | 2007-04-10 |
| 1952497240 | Bruce Kent Burton | Internal Medicine | 2223 Grant St, Malvern, AR 72104 | 2006-10-05 |
| 1053413724 | Ian Steven Udvarhelyi | Internal Medicine | 2185 Wyndtree Ln, Malvern, PA 19355-2343 | 2006-09-02 |
| 1770507725 | Thomas J. Nasca | Internal Medicine | 12 Allyssa Cir, Malvern, PA 19355-2891 | 2006-07-26 |
| 1720054125 | Altimus Ray Bollen | Internal Medicine | 1002 Schneider Dr, Suite 104, Malvern, AR 72104-4816 | 2006-02-24 |
| 1225486319 | Katherine Streitel Borst | Internal Medicine | 414 Paoli Pike, Malvern, PA 19355-3311 | 2016-05-30 |
| 1922414994 | Jatin Kyada, Md, PC | Internal Medicine | 5 Frame Ave, Suite 204, Malvern, PA 19355-1520 | 2014-07-10 |
| 1588074546 | Shawn Potteiger | Internal Medicine | 266 Lancaster Ave Ste 200, Malvern, PA 19355-3256 | 2014-04-30 |
| Find all providers in MALVERN | ||||
Please comment or provide details below to improve the information on ABSALOM H TILLEY.
| 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.