DAVID TILLER (NPI# 1336155373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336155373 |
| Entity Type | Individual |
| Full Name | DAVID TILLER |
| Credential | MD |
| Practice Address |
2601 Spencer Rd Spencer OK 73084-3649 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4054272441 |
| Practice Fax Number | 4054274741 |
| Mailing Telephone | 4054272441 |
| Mailing Fax Number | 4054274741 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
26522 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CHOICE | P010204490 | 01 | |
| RAILROAD MEDICARE | P00115455 | 01 | |
| PREFERRED CARE | MDG232 | 01 |
| Street Address |
2601 SPENCER RD |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022924 | Linda K Ramer | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2005-09-08 |
| 1649650649 | Patrick James Kennedye | Family Medicine | 2601 Spencer Rd, Spencer, OK 73084 | 2015-06-04 |
| 1184038572 | Kanwaldeep Mann | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-06-13 |
| 1437560398 | Integris Baptist Medical Center | Psychiatric Unit | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-14 |
| 1669883781 | Connie Jo Johnson | Registered Nurse | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-12 |
| 1356781199 | William Oliva | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2013-06-25 |
| 1902196421 | Integris Mental Health | Community Based Residential Treatment Facility, Mental Illness | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2011-04-18 |
| 1730315193 | Brett Irish Cunningham | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2009-05-29 |
| 1013173780 | Naveena Sesikeran Boindala | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2008-08-01 |
| 1811157829 | Humaira Abid | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598032914 | Michael Allen Nugent | Psychiatry & Neurology | 24800 S. 4420 Rd., Vinita, OK 74301-0069 | 2011-11-30 |
| 1154483303 | Harold M Ginzburg | Psychiatry & Neurology | 100 S Bliss Ave, Dept of Psychiatry, Tahlequah, OK 74464-2512 | 2006-12-14 |
Please comment or provide details below to improve the information on DAVID TILLER.
| 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.