DR. ALLISON TILLACK (NPI# 1821417544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821417544 |
| Entity Type | Individual |
| Full Name | DR. ALLISON TILLACK |
| Credential | MD, PHD |
| Practice Address |
801 S Stevens St Spokane WA 99204-2654 |
| Practice Telephone | 5093637788 |
| Mailing Telephone | 5093637788 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD60940915 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1821417544 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 Broadway, Suite Ww-739, Seattle, WA 981224379 | 2063862123 |
| Street Address |
801 S STEVENS ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148956 | Jeffrey Paul Clarke | Radiology | 801 S Stevens St, Spokane, WA 99204 | 2005-07-15 |
| 1609282763 | Integra Imaging Ps | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2014-07-09 |
| 1992116842 | Philip Nathaniel Smith | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2014-05-14 |
| 1659799732 | Scott Bruschwein | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2014-04-04 |
| 1821416439 | Michael Ian Posch | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2014-04-01 |
| 1871936419 | David A Thayer | Radiology | 801 S Stevens St, Spokane, WA 99204 | 2013-04-13 |
| 1912240128 | Jacob Paul Pickering | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2013-04-05 |
| 1467705657 | Integra Imaging, Ps | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2012-10-25 |
| 1205189461 | Integra Imaging, Ps | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2012-10-24 |
| 1174876437 | Integra Imaging, Ps | Radiology | 801 S Stevens St, Spokane, WA 99204-2654 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821009 | Elizabeth Joiner | Radiology | 801 S Stevens St Dept Of, Spokane, WA 99204-2654 | 2014-04-15 |
| 1972808640 | Spinal Diagnostic Associates | Radiology | 528 E Spokane Falls Blvd Ste 14, Spokane, WA 99202-5050 | 2011-01-11 |
| 1700108040 | James Dunn | Radiology | 3120 W Circle Pl, Spokane, WA 99205-5854 | 2010-02-26 |
| 1790011161 | Jeremiah Boyd | Radiology | 101 West Eighth Avenue, Spokane, WA 99220-2555 | 2009-10-20 |
| 1316272875 | Joshua Knight | Radiology | 1626 E Hartson Ave, Spokane, WA 99202-3342 | 2009-10-15 |
| 1639349707 | Bridget C Sestero | Radiology | 5215 S Hogan Ct, Spokane, WA 99223-8105 | 2008-03-05 |
| 1225130164 | Terry Alan Reed | Radiology | 174 S Coeur Dalene St, Unit H302, Spokane, WA 99204-1181 | 2006-09-01 |
| 1962453159 | Travis W Stratford | Radiology | 315 W Riverside Ave Ste 502, Spokane, WA 99201-5016 | 2006-05-13 |
| 1962465989 | Howard Mark Hirsch | Radiology | 734 E 24th Ave, Spokane, WA 99203-3327 | 2006-04-10 |
| 1073576948 | Brad J Ratcliff | Radiology | 1314 E Susan Ln, Spokane, WA 99223-6205 | 2006-04-10 |
| Find all providers in SPOKANE | ||||
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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.