David Tillery, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP2282058A40 Issued in OH

Practice address

401 N Ewing St
Lancaster, OH 43130-3372

Phone

(740) 687-8651

NPI assigned

Mar 9, 2015

Sex

Male

Sole proprietor

Yes

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 OH

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

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
• Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mount Carmel Healthproviders Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1356384143
  Medicare reassignment Care Compare group NPD
• Mount Carmel Health Providers Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1831364876
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  Care Compare affiliation
• Diley Ridge Medical Center

  • General Acute Care Hospital
  • Canal Winchester, OH
  • NPI 1225361181
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Columbus, OH
  • NPI 1104863927
  Care Compare affiliation

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1346633740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-687-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "AP2282058A40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Thomas, RN, LCDCIII
• Britteny Elizabeth Thompson, LPN
• Lisa Thompson
• Nicole Jo Thompson, NICOLE THOMPSON, RN
• Shelly L Thompson, M.D.
• Brandi Ann Tipple, CNP
• Caleb Tipple
• Elliott Nicole Tipple, LSW
• Leila Tipton
• Travis Alan Tipton, RN

• Family Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.
• 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.