NPIMap

Organization Active NPI

Tad Tillemans, P.a.

  • Community/Behavioral Health Agency
  • Little Rock, AR
National Provider Identifier
1437300712
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E2889 Issued in AR
Legal business name
TAD TILLEMANS, P.A.
Practice address
2801 Lee Ave
Little Rock, AR 72205-4327
Phone
(501) 660-6644
NPI assigned
Oct 6, 2008
Last updated
Jan 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Tad Tillemans, M.D.NPI 1346459765
Title
President
Phone
(501) 660-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E2889 AR Primary

Addresses

Primary practice location

2801 Lee Ave
Little Rock, AR 72205-4327

Mailing address

2801 Lee Ave
Little Rock, AR 72205-4327
Phone (501) 660-6644

National Provider Directory

National Provider Directory

Locations

2801 Lee Ave
Little Rock, AR 72205
Phone (501) 660-6644

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1437300712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054327",
            "telephone_number": "501-660-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054327",
            "telephone_number": "501-660-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAD TILLEMANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "TILLEMANS",
        "authorized_official_first_name": "TAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-660-6644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "E2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.