Roger L Tilley (NPI# 1548366354, PAC ID# 6901703149) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548366354 |
| PAC ID by PECOS | 6901703149 |
| Professional Enrollment ID | I20090917000532 |
| Full Name | Roger L Tilley |
| Address |
624 Alcoa Rd Benton AR 72015-3404 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY, GENERAL PRACTICE, PATHOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040084 | SALINE MEMORIAL HOSPITAL |
| 040026 | ST VINCENT HOT SPRINGS |
| Address | Phone | Organization |
|---|---|---|
| 624 Alcoa Rd, Benton, AR 72015-3404 |
| Street Address |
624 ALCOA RD |
| City | BENTON |
| State | AR |
| Zip | 72015-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Louise White | Clinical Social Worker | Birch Tree Communities Inc | 1506 Mary Kay Blvd, Benton, AR 72015 |
| Bradford Holloway | Clinical Social Worker | Birch Tree Communities Inc | 1502 Mary Kay Blvd, Benton, AR 72015-0001 |
| Christopher T Culpepper | Chiropractic | Pain Care Associates P A | 1900 Military Rd, Suite 1, Benton, AR 72015-2819 |
| Jennifer N Eidson | Clinical Social Worker | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| Rebecca L Schlau | Psychologist, Clinical | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| John V Baka | Obstetrics/gynecology | 1220 Military Rd, Benton, AR 72015-2908 | |
| Krista J Koder | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Mark Albey | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Kristen Wright | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Lisa R Barker | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Find all physicians in zip 72015 | |||
| City | BENTON |
| Zip Code | 72015 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roger L Tilley.
| 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.