JACOB GARY TILLMAN (NPI# 1568722700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568722700 |
| Entity Type | Individual |
| Full Name | JACOB GARY TILLMAN |
| Practice Address |
103 Continental Pl Suite 405 Brentwood TN 37027-1041 |
| Practice Telephone | 8779774630 |
| Practice Fax Number | 8882427469 |
| Mailing Telephone | 8779774630 |
| Mailing Fax Number | 8882427469 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
103 CONTINENTAL PL SUITE 405 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128807 | Folusho Micah | Counselor | 103 Continental Pl, Brentwood, TN 37027-1041 | 2020-09-09 |
| 1780216820 | Solid Roots, LLC | Social Worker | 103 Continental Pl, Brentwood, TN 37027-1041 | 2020-02-06 |
| 1730610197 | St Joseph Physician Services LLC | Internal Medicine | 103 Continental Pl, Ste 200, Brentwood, TN 37027-1041 | 2017-03-27 |
| 1194256917 | Paris Anesthesia LLC | Anesthesiology | 103 Continental Pl, Ste 200, Brentwood, TN 37027-1041 | 2017-03-23 |
| 1508305343 | St Joseph Physician Services LLC | Internal Medicine | 103 Continental Pl, Ste 200, Brentwood, TN 37027-1041 | 2017-02-13 |
| 1093124521 | Rchp Montana LLC | Rehabilitation Unit | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-08 |
| 1366851990 | Rchp Montana LLC | General Acute Care Hospital | 103 Continental Pl, Suite 200, Brentwood, TN 37027-1041 | 2014-08-07 |
| 1275893414 | Amanda Coleman | Specialist/Technologist, Other | 103 Continental Pl, Suite 405, Brentwood, TN 37027-1041 | 2012-05-22 |
| 1366702524 | Cody M Holland | Specialist/Technologist, Other | 103 Continental Pl, Suite 405, Brentwood, TN 37027-1041 | 2012-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023554201 | Jessica Chou | Specialist/Technologist, Other | 214 Centerview Drive, Suite 100, Brentwood, TN 37027 | 2017-01-12 |
| 1780771089 | Stat Surgical Associates, Inc. | Specialist/Technologist, Other | 5200 Maryland Way, Suite 301, Brentwood, TN 37027-5018 | 2006-10-06 |
| 1063400281 | Bryan D. Borsum | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2005-10-11 |
| 1891394383 | Monika Murray | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1174123608 | Ralph Landon Shoemaker | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-26 |
| 1164021994 | Alexia Jacobs | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-10-22 |
| 1508473323 | Megan Neckelmann | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1861009698 | Rachel Rayl | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-09-25 |
| 1992314934 | Brody Blackburn | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-07-27 |
| 1558970715 | Oxana Pavlova | Specialist/Technologist, Other | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2020-07-23 |
| Find all providers in BRENTWOOD | ||||
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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.