Thomas L Tiller Jr., M. D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

4841 Issued in SC

Practice address

48 Creekview CT
Greenville, SC 29615-4800

Phone

(864) 458-7431

Fax

(864) 458-7463

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Greenville, SC
  • NPI 1215927462
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1154311306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-458-7431",
            "fax_number": "864-458-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-458-7431",
            "fax_number": "864-458-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048415",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Tidmore
• Ashlee Chumney Tiffany
• Debra Ann Tilden, MA
• Constance Tilghman, LPN
• Peter Lloyd Tilkemeier, MD
• Renee Elizabeth Tillmann, OT
• Selena Tima
• Caroline Timanus, APRN
• Christopher Ike Timbreza, BCBA, LBA
• Ashleigh Timmerman

• Allergy & Immunology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Allergy & Immunology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.