David Arnold Tillman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME77148 Issued in FL

Practice address

1585 S Ocean LN
#280
Fort Lauderdale, FL 33316-3335

Phone

(954) 900-3903

NPI assigned

May 12, 2010

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1235457482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 S OCEAN LN",
            "address_2": "#280",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163335",
            "telephone_number": "954-900-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 S OCEAN LN",
            "address_2": "#280",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163335",
            "telephone_number": "954-900-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "DAVID",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME77148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Ticich, DMD
• Jennifer Tiech, LMHC
• Sean M Tierney, DO
• Tiffany Sizemore DO PA
• Scott Zachary Tilbrook, PA-C
• Tim a. Sayed, MD, PLLC
• Rose Carline Tima, SOCIAL WORKER
• Timeless Home Care LLC
• Timeless Therapy
• Rhea Gail Timm, LCSW

• All providers in Fort Lauderdale, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.