MARC O TILLER (NPI# 1477880664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477880664 |
| Entity Type | Individual |
| Full Name | MARC O TILLER |
| Credential | M.D. |
| Practice Address |
15 Maple Ave Warwick NY 10990-1028 |
| Mailing Address |
Po Box 875 Warwick NY 10990-0875 |
| Practice Telephone | 8452942006 |
| Practice Fax Number | 8456151590 |
| Mailing Telephone | 8452942006 |
| Mailing Fax Number | 8456151590 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2050577-1 | NY | Other Service Providers |
| Street Address |
15 MAPLE AVE |
| City | WARWICK |
| State | NY |
| Zip Code | 10990-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755324 | St. Anthony Community Hospital | General Acute Care Hospital | 15 Maple Ave, Warwick, NY 10990-1028 | 2005-10-24 |
| 1609310887 | Kathryn Ryans | Physical Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2016-12-07 |
| 1982064804 | Colleen Miller | Occupational Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2016-03-04 |
| 1922483833 | Sylvia Roome | Physical Therapist | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-22 |
| 1558746453 | Heather Knudsen | Speech-Language Pathologist | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-21 |
| 1386027647 | Amy Fotino | Registered Nurse | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-07-06 |
| 1558751883 | Yuwei Xu | Registered Nurse | 15 Maple Ave, Warwick, NY 10990-1028 | 2015-01-26 |
| 1689085250 | Warwick Anesthesia Group LLC | Anesthesiology | 15 Maple Ave, Warwick, NY 10990-1028 | 2014-05-16 |
| 1174892509 | Wei Nie | Nurse Anesthetist, Certified Registered | 15 Maple Ave, Warwick, NY 10990-1028 | 2011-12-13 |
| 1831477694 | Gurpreet Singh | Internal Medicine | 15 Maple Ave, Warwick, NY 10990-1028 | 2011-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1881163921 | Warwick Reformed Church | Home Delivered Meals | 16 Maple Avenue, Warwick, NY 10990 | 2018-11-19 |
| 1821522400 | Lauren Weller | Behavior Technician | 103 Little York Road, Warwick, NY 10990 | 2017-04-20 |
| 1154726859 | Marie T Mars | Licensed Practical Nurse | 40 Marian Ct, Warwick, NY 10990 | 2014-10-24 |
| 1417383282 | Lawrence M Kamhi Md PC | Anesthesiology | 121 Village Green Court, Warwick, NY 10990 | 2013-09-24 |
| 1427491398 | Dynamic Therapy Inc | Early Intervention Provider Agency | 47 Homestead Village Drive, Warwick, NY 10990 | 2013-04-10 |
| 1033498381 | Needelia Davis | Registered Nurse | 15 Blue Spruce Trl, Warwick, NY 10990 | 2011-08-04 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1891027900 | Delna M Joseph | Licensed Practical Nurse | 20 Grand Street, Warwick, NY 10990 | 2010-02-01 |
| 1366689200 | Premiere Physical Therapy, PC | Physical Therapist | 56 Onderdonk Rd, Warick, NY 10990 | 2009-01-14 |
| Find all providers in zip 10990 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1275022402 | Julie Eileen Mumford | Specialist | 57 Four Corners Rd, Warwick, NY 10990-3019 | 2018-05-03 |
| 1790137461 | Northeast Behavioral Associates | Specialist | 2348 Post Road, Suite 107, Warwick, RI 02886-2271 | 2016-07-06 |
| 1316388879 | Kimberly Dawn Symock | Specialist | 915 Warwick Ave, Warwick, RI 02888-3646 | 2013-07-12 |
| 1992046916 | Jean Lozoratis | Specialist | 68 Cascade Rd, Warwick, NY 10990-3809 | 2013-03-15 |
| 1104176908 | Lisa Ann Assaiante | Specialist | 21 Sunset Ter, Warwick, NY 10990-2143 | 2012-09-19 |
| 1154677466 | Laura Guddemi | Specialist | 196 County Route 1, Warwick, NY 10990-2411 | 2012-07-24 |
| 1255694030 | Maria Yolanda Hernandez | Specialist | 8 Wilder Dr, Warwick, NY 10990-3630 | 2012-06-18 |
| 1740543479 | Deborah Hess Balsamo | Specialist | 63 Southern Ln, Warwick, NY 10990-1916 | 2012-06-18 |
| 1336432699 | Spectrum Professional Services | Specialist | 3970 Post Rd, Warwick, RI 02886-9235 | 2011-05-19 |
| Find all providers in WARWICK | ||||
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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.