Gary M Tillman, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

050971 Issued in IA

Practice address

714 Lincoln St NE
Le Mars, IA 51031-3314

Phone

(712) 546-3398

Fax

(712) 546-3352

NPI assigned

Dec 13, 2006

Last updated

Nov 17, 2010By the provider in NPPES

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 IA, NE2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sioux Center HealthGroup PAC ID 9032027495, 36 clinicians

Floyd Valley HealthcareGroup PAC ID 2769385475, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368
• Sioux Center Health Hospital, Sioux Center, IA, CCN 161346

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1669542981
  Medicare reassignment Care Compare group NPD
• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Medicare reassignment NPD
• Floyd Valley Healthcare

  dba Floyd Valley ER Services

  • Emergency Medicine Physician
  • Le Mars, IA
  • NPI 1578625653
  Medicare reassignment NPD
• Greater Siouxland Anesthesiology & Pain Prof LLC

  • Certified Registered Nurse Anesthetist
  • South Sioux City, NE
  • NPI 1750916490

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Todd Luedeke PC

  • Certified Registered Nurse Anesthetist
  • South Sioux City, NE
  • NPI 1194374066

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1326056755
  Medicare reassignment
• Floyd Valley Healthcare

  dba Floyd Valley Pharmacy

  • Community/Retail Pharmacy
  • Le Mars, IA
  • NPI 1710765433
  NPD
• Sioux Center Health

  • Family Medicine Physician
  • Hawarden, IA
  • NPI 1225507510
  NPD

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

• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Care Compare affiliation
• Sioux Center Health

  • Critical Access Hospital
  • Sioux Center, IA
  • NPI 1326056755
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1417018276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3398",
            "fax_number": "712-546-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LINCOLN ST NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313314",
            "telephone_number": "712-546-3398",
            "fax_number": "712-546-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "050971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole C Thomas, ARNP
• Jeanette A Thoms
• Charles R Tilley Jr.
• Tami Trimble, LBSW
• True Health Chiropractic, LLC
• Peyton Turner, LMSW
• Katie Ann Van Den Hul
• Thomas Van Engelenhoven, MA

• Certified Registered Nurse Anesthetist in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.