Robert Tilley MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

2013004555 Issued in MO

Legal business name

ROBERT TILLEY MD LLC

Practice address

1390 US Highway 61
Suite 2300
Festus, MO 63028-4137

Phone

(636) 937-3121

Fax

(636) 937-4423

NPI assigned

Mar 28, 2013

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Ingram, CPC

Title

Office Manager

Phone

(636) 937-3121

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda E Avellone, MD

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1154325082
  NPD
• Warren M Breite, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Festus, MO
  • NPI 1457355372

  Multi-Specialty

  NPD
• Robert Lee Tilley, MD

  • Pulmonary Disease Physician
  • Festus, MO
  • NPI 1962504886
  NPD

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1083957047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE 2300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-937-3121",
            "fax_number": "636-937-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT TILLEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-937-3121",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2013004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Risse Counseling Services, LLC
• Martin A. Risse Jr., L.P.C.
• Mark Anatoly Rivkin, D.O.
• Verna Jewel Roach
• Benjamin C Robarge, PTA
• Rena Robinson
• Pamela Rose
• Mikayla Danielle Roth, CCC-SLP
• Rouba Ghoussoub MD LLC
• Bassam A. Roukoz, M.D.

• Pulmonary Disease Physician in Festus, MO
• Providers in Festus, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.