Gary M Tillman (NPI# 1417018276, PAC ID# 1254496623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1417018276 |
PAC ID by PECOS | 1254496623 |
Professional Enrollment ID | I20090218000521 |
Full Name | Gary M Tillman |
Organization Legal Name | TRI-STATE SPECIALISTS, LLP |
Address |
2730 Pierce St Suite 300 Sioux City IA 51104-3765 |
Phone Number | 7122248677 |
Gender | M |
Graduation Year | 1982 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 2365583663 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
161368 | FLOYD VALLEY HOSPITAL |
161346 | SIOUX CENTER HEALTH |
Address | Phone | Organization |
---|---|---|
714 Lincoln St Ne, Le Mars, IA 51031-3314 | FLOYD VALLEY HOSPITAL | |
1101 9th St Se, Sioux Center, IA 51250-2501 | 7127221271 | SIOUX CENTER HEALTH |
1101 9th St Se, Sioux Center Health Medical Clinic, Sioux Center, IA 51250-2501 | 7127221271 | SIOUX CENTER HEALTH |
605 S Main Ave, Sioux Center Community Hospital And, Sioux Center, IA 51250-1347 | 7127221271 | SIOUX CENTER HEALTH |
2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 | 7122248677 | TRI-STATE SPECIALISTS, LLP |
201 E 4th St, Suite 202, South Sioux City, NE 68776-1706 | 7122248677 | TRI-STATE SPECIALISTS, LLP |
Organization Legal Name | TRI-STATE SPECIALISTS, LLP |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ruslan Safarov | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Adam B Smith | Plastic and Reconstructive Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
Theresa J Swenson | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
Michael C Doarn | Hand Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Phinit Phisitkul | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Stephanie M Walker | Physician Assistant | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
Kevin Jay Liudahl | Orthopedic Surgery | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
Raymond T Kuwahara | Dermatology | Tri-state Specialists, LLP | 2800 Pierce St, Suite 101, Sioux City, IA 51104-3707 |
John J Anzalone | Physical Therapy | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Aaron T Althaus | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Street Address |
2730 PIERCE ST SUITE 300 |
City | SIOUX CITY |
State | IA |
Zip | 51104-3765 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ruslan Safarov | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Michael C Doarn | Hand Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Phinit Phisitkul | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Paul J Eastman | Obstetrics/gynecology | Siouxland Obstetrics and Gynecology, P.C. | 2730 Pierce St, Suite 201, Sioux City, IA 51104-3764 |
Melissa N Holtz | Obstetrics/gynecology | Siouxland Obstetrics and Gynecology, P.C. | 2730 Pierce St, Suite 201, Sioux City, IA 51104-3764 |
John J Anzalone | Physical Therapy | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Melissa S Wright | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2730 Pierce St, Suite 401, Sioux City, IA 51104-3766 |
Aaron T Althaus | Orthopedic Surgery | Tri-state Specialists, LLP | 2730 Pierce St, Suite 300, Sioux City, IA 51104-3765 |
Gokulakkrishna Subhas | General Surgery | Iowa Physicians Clinic Medical Foundation | 2730 Pierce St, Suite 402, Sioux City, IA 51104-3766 |
Angela J Aldrich | Obstetrics/gynecology | Siouxland Obstetrics and Gynecology, P.C. | 2730 Pierce St, Suite 201, Sioux City, IA 51104-3764 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary D Heath | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Joseph Adam Kurth | Family Medicine | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Amy J Payne | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Shannon Stewart | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Michael D. Harder | Family Medicine | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Michelle Renae Doty | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Kerri A Weaver | Clinical Social Worker | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Cynthia S Lewin | Nurse Practitioner | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Roxana B Karimzadeh | Physician Assistant | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Steven L Shook | Family Practice | Family Health Care of Siouxland Plc | 4230 Hamilton Blvd, Sioux City, IA 51104-1137 |
Find all physicians in zip 51104 |
City | SIOUX CITY |
Zip Code | 51104 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | SIOUX CITY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Gary M Tillman.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.