Walter T. Tillman Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WALTER T. TILLMAN INC

Practice address

2414 Lytle Rd Ste 202
Bethel Park, PA 15102-2755

Phone

(412) 283-4961

Fax

(412) 283-4962

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Walter T. Tillman III, B.C.O.NPI 1972513356

Title

President/Owner

Phone

(412) 283-4961

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Walter Thomas Tillman III, B.C.O.

  • Specialist
  • Bethel Park, PA
  • NPI 1972513356
  NPD Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1295911477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "address_2": "SUITE 202 HIRAS PROFESSIONAL BUILDING",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-283-4961",
            "fax_number": "412-283-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD STE 202",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022755",
            "telephone_number": "412-283-4961",
            "fax_number": "412-283-4962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4076 Market St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170114200",
            "country_code": "US",
            "telephone_number": "412-283-4961",
            "fax_number": "412-283-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALTER T. TILLMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "412-283-4961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1972513356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013947050002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Joy Vowinckel
• Anuradha Wadekar, PSYD
• Kyle W Wagner, LPC
• Walgreen Co
• Heather Walls, LCSW
• Kimberly Ann Ward, LMHC-FL AND LPC-TX
• Kristin Ware, PHARMD
• Kambria Warnock, DNP, CRNP, FNP-BC
• Joel David Warshaw, M.D.
• Luke Andrew Watson, LPC

• Durable Medical Equipment & Medical Supplies in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.