Individual provider Active NPI

Elizabeth McCormick Tilghman, PA-C

  • Physician Assistant
  • Exton, PA
National Provider Identifier
1447587514
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA002415 Issued in PA
Practice address
855 Springdale Dr Ste 120
Exton, PA 19341-2836
Phone
(610) 561-6100
Fax
(610) 524-0133
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054019 PA
Physician Assistant 363A00000X OA002415 PA Primary

Addresses

Primary practice location

855 Springdale Dr Ste 120
Exton, PA 19341-2836

Mailing address

414 E Jefferson St
Media, PA 19063-3845
Phone (484) 919-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA054019PAMDPhysician Assistant
OA002415PAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: elizabeth.tilghman@integratedhealthandwellnesscenter.chartmakerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1447587514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E JEFFERSON ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633845",
            "telephone_number": "484-919-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SPRINGDALE DR STE 120",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412836",
            "telephone_number": "610-561-6100",
            "fax_number": "610-524-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "ELIZABETH",
        "middle_name": "MCCORMICK",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.