MR. GARY L TILLEY (NPI# 1851320196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851320196 |
| Entity Type | Individual |
| Full Name | MR. GARY L TILLEY |
| Credential | CRNA |
| Practice Address |
1115 Avenue G Bay City TX 77414-3540 |
| Mailing Address |
103 Woodside Dr Bay City TX 77414-2151 |
| Practice Telephone | 9792456783 |
| Practice Fax Number | 9792416783 |
| Mailing Telephone | 9792450626 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 441807 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | C087543C5 | 05 | |
| TX | BC-BS | C-80B | 01 |
| Street Address |
1115 AVENUE G |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280926 | Matagorda Emergency Medicine Associates Pa | Physician Assistant | 1115 Avenue G, Bay City, TX 77414-3540 | 2006-03-24 |
| 1083821961 | Clement Ugorji | Emergency Medicine | 1115 Avenue G, Bay City, TX 77414-3540 | 2007-05-17 |
| 1013133057 | Matagorda County Hospital District | Clinic/Center | 1115 Avenue G, Bay City, TX 77414-3540 | 2007-04-18 |
| 1669599346 | Matagorda County Hospital District | General Acute Care Hospital | 1115 Avenue G, Bay City, TX 77414-3540 | 2007-03-26 |
| 1417021643 | Hospital Care Services Pa | Hospitalist | 1115 Avenue G, Bay City, TX 77414-3540 | 2006-11-20 |
| 1235218629 | Aung Ba | Emergency Medicine | 1115 Avenue G, Bay City, TX 77414-3540 | 2006-11-04 |
| 1578674578 | Bob R. Maxcey | Radiology | 1115 Avenue G, Bay City, TX 77414-3540 | 2006-08-31 |
| 1104881382 | Jennifer Yvonne Berry | Family Medicine | 1115 Avenue G, Bay City, TX 77414-3540 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1194151621 | Tillman Moody Daniel Jr. | General Practice | 2721 Oak Dr., Bay City, TX 77414 | 2013-09-16 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639106479 | Roy Holloway | Nurse Anesthetist, Certified Registered | 1813a 6th St, Bay City, TX 77414-5130 | 2006-06-27 |
| 1841844792 | Kayla Zachary | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
| 1891349601 | Audrey Adams | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
| 1194203992 | Jason David Flowers | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2018-08-02 |
| 1255822789 | Sheyna Bora Ali | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2018-05-21 |
| 1700375649 | Ryan L Frye | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2018-05-07 |
| 1013423003 | Scott Kowalewsky | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2017-12-28 |
| 1598282907 | Lucy Oliver | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2017-08-25 |
| 1831613587 | Maxwell Edem Dogbatse | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2017-08-02 |
| 1033668611 | Alison Spalding | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2016-09-24 |
| Find all providers in BAY CITY | ||||
Please comment or provide details below to improve the information on MR. GARY L TILLEY.
| 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.