DR. JEFFREY PAUL TILLINGHAST (NPI# 1447393301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447393301 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PAUL TILLINGHAST |
| Credential | M.D. |
| Practice Address |
1040 N Mason Rd Suite 115 Saint Louis MO 63141-6399 |
| Practice Telephone | 3145420606 |
| Practice Fax Number | 3145420212 |
| Mailing Telephone | 3145420606 |
| Mailing Fax Number | 3145420212 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | R7B86 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 030000959 | 01 |
| MO | BLUE SHIELD | 28644 | 01 |
| MO | HEALTHLINK | 118205 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336427970 | Jeffrey Tillinghast | Social Worker | 14 Maine St, Suite 210, Brunswick, ME 04011-2049 | 2011-08-01 |
| Street Address |
1040 N MASON RD SUITE 115 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326020041 | Michele M. Thomas | Emergency Medicine | 1040 N Mason Rd, Ste 102, Saint Louis, MO 63141-6399 | 2005-11-17 |
| 1598238917 | Katharine Louise Cella | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2019-01-08 |
| 1629552138 | Viktoria Meier | Nurse Practitioner | 1040 N Mason Rd, Ste 206, Saint Louis, MO 63141-6399 | 2018-09-20 |
| 1881108413 | Sarah Rebecca Hartmann | Nurse Practitioner | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2017-11-17 |
| 1396186573 | Rachael Jeanette Mangiore | Audiologist | 1040 N Mason Rd, Ste 123, Saint Louis, MO 63141-6399 | 2013-07-16 |
| 1497019897 | Maureen Danielle Lyons | Internal Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2012-06-29 |
| 1790050268 | Amy Lynn Lee | Nurse Practitioner | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2012-03-17 |
| 1053690537 | Heidi Hope Tastet | Family Medicine | 1040 N Mason Rd, Ste 103, Saint Louis, MO 63141-6399 | 2011-08-15 |
| 1831498997 | Karry Louise Brim | Physician Assistant | 1040 N Mason Rd, Saint Louis, MO 63141-6399 | 2011-03-15 |
| 1568792539 | Melissa Korenblat-hanin | Social Worker | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124235239 | Jeremy Shawn Katcher | Allergy & Immunology | 12818 Tesson Ferry Rd Ste 205, Saint Louis, MO 63128-2945 | 2007-05-17 |
| 1154370203 | Hamsa N Subramanian | Allergy & Immunology | 425 N New Ballas Rd Ste 203, Saint Louis, MO 63141-6814 | 2006-05-08 |
| 1912991753 | Michael Borts | Allergy & Immunology | 9701 Landmark Parkway Dr Ste 207, Suite 103, Saint Louis, MO 63127-1665 | 2005-09-08 |
| 1982026696 | Zhen Ren | Allergy & Immunology | 4921 Parkview Pl, Ste 8b, Saint Louis, MO 63110-1032 | 2014-01-15 |
| 1043574940 | Mercy Clinic East Communities | Allergy & Immunology | 615 S New Ballas Rd, Administration Building, 5th Floor, Saint Louis, MO 63141-8221 | 2012-06-26 |
| 1699948745 | Ashley A Emmert | Allergy & Immunology | 6651 Chippewa St, Suite 312, Saint Louis, MO 63109-2538 | 2008-04-09 |
| 1760686034 | Elyra D Figueroa | Allergy & Immunology | 10000 Watson Rd, Suite 2s, Saint Louis, MO 63126-1841 | 2007-06-12 |
| 1306062955 | Associated Specialists In Medicine, PC | Allergy & Immunology | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2007-04-18 |
| 1609887983 | Bradley A Becker | Allergy & Immunology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-08-11 |
| 1639110935 | Davis, Wright, Berdy, & Suffian PC | Allergy & Immunology | 456 N New Ballas Rd, Suite 129, Saint Louis, MO 63141-6831 | 2006-06-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.