Randall Tillman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5512 Issued in KY

Practice address

1601 W Everly Brothers Blvd Ste 1B
Central City, KY 42330-2707

Phone

(270) 608-8473

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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 KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004

Medicare enrollment (NPD)

Enrolled

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.

• Tillman Family Chiropractic

  • Chiropractor
  • Central City, KY
  • NPI 1699224576
  Medicare reassignment NPD Authorized official

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

• Oh Muhlenberg, LLC

  dba Owensboro Health Muhlenberg Community Hospital

  • General Acute Care Hospital
  • Greenville, KY
  • NPI 1407800436
  Care Compare affiliation
• Oh Muhlenberg, LLC

  dba Owensboro Health Muhlenberg Community Hospital Coal Miners' Respirator

  • Pulmonary Disease Physician
  • Greenville, KY
  • NPI 1992001044

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1447709316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W EVERLY BROTHERS BLVD STE 1B",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423302707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W EVERLY BROTHERS BLVD STE 1B",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423302707",
            "telephone_number": "270-608-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan M Sweeney, PHARMD
• Carson Teague, APRN
• Alyssa Marie Thomas
• Tillman Family Chiropractic
• Candace L Tillman, DNP. APRN, FNP-C
• Hollie Michelle Tooley, MS CCC-SLP
• Timothy R Underwood, D.M.D.
• Dayna Yvette Utley
• Dana Vice, LCSW
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0294)

• Chiropractor in Central City, KY
• Providers in Central City, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.