NPIMap

Organization Active NPI

Tillian LLC

  • Diagnostic Radiology Physician
  • Pendleton, OR
National Provider Identifier
1356674394
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD29432 Issued in OR
Legal business name
TILLIAN LLC
Practice address
1601 SE Court Ave
Pendleton, OR 97801-3217
Phone
(541) 278-3228
Fax
(541) 278-3219
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Mark Owen McVee, MD
Title
President
Phone
(541) 758-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD29432 OR Primary

Addresses

Primary practice location

1601 SE Court Ave
Pendleton, OR 97801-3217

Mailing address

PO Box 1893
Corvallis, OR 97339-1893
Phone (541) 758-5047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1356674394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1893",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391893",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-278-3228",
            "fax_number": "541-278-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "MCVEE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-758-5047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD29432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.