Laura Tilton MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

48779 Issued in MN

Legal business name

LAURA TILTON MD LLC

Practice address

1900 Sunrise Dr
Saint Peter, MN 56082-5376

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Laura Tilton, M.D.NPI 1710164488

Title

Sole Owner

Phone

(612) 817-1894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Ellen Tilton, MD

  • Internal Medicine Physician
  • Edina, MN
  • NPI 1710164488
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1053863555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2312",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560022312",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA TILTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "612-817-1894",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "48779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Lange, M.S., L.P.
• Kevin James Langton, LADC
• Tara Lynn Lassen, APRN
• Zacharias D Laughlin, LPCC
• Laura J. Hulsebus P.a.
• Beth Leavitt, LICSW
• Sang Chae Lee, DDS
• Tyler Lee
• Laura Rose Lehman, LICSW
• Leo a. Hoffmann Center, Inc.

• Internal Medicine Physician in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.