Organization Active NPI

Seth Tilzer, Inc

  • Psychiatry Physician
  • Granite City, IL
National Provider Identifier
1164536744
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SETH TILZER, INC
Practice address
Gateway Regional Medical Center
2100 Madison Ave
Granite City, IL 62040
Phone
(618) 798-3012
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Seth Tilzer, M.D.
Title
Psychiatrist
Phone
(636) 394-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X IL Primary

Addresses

Primary practice location

Gateway Regional Medical Center
2100 Madison Ave
Granite City, IL 62040

Mailing address

2112 Brook Hill Ridge Dr
Chesterfield, MO 63017-7959
Phone (636) 394-2232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1164536744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BROOK HILL RIDGE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177959",
            "telephone_number": "636-394-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GATEWAY REGIONAL MEDICAL CENTER",
            "address_2": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-798-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH TILZER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "TILZER",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "636-394-2232",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

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