Individual provider Active NPI

Madeline McNeil Tarrillion, D.O.

  • Dermatology Physician
  • Youngstown, OH
National Provider Identifier
1013356476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34012863 Issued in OH
Practice address
8060 Market St
Youngstown, OH 44512-6241
Phone
(330) 758-9189
Fax
(330) 758-4487
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34012863 OH Primary

Addresses

Primary practice location

8060 Market St
Youngstown, OH 44512-6241

Mailing address

8060 Market St
Youngstown, OH 44512-6241
Phone (330) 758-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628003305 OH Practitioner - Dermatology 2163791518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34012863OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jenifer R Lloyd LLC Dermatology CurrentSince Jul 10, 2017 Accepting new patients

Locations

8060 Market St
Youngstown, OH 44512
Phone (330) 758-9189

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013356476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126241",
            "telephone_number": "330-758-9189",
            "fax_number": "330-758-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRILLION",
        "first_name": "MADELINE",
        "middle_name": "MCNEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34012863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.