Marc O Tiller, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2050577-1 Issued in NY

Practice address

15 Maple Ave
Warwick, NY 10990-1028

Phone

(845) 294-2006

Fax

(845) 615-1590

NPI assigned

Nov 9, 2009

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Missouri, Columbia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ramapo Anesthesiologists, PCGroup PAC ID 3476444373, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Ramapo Anesthesiologists, PC

  • Anesthesiology Physician
  • Suffern, NY
  • NPI 1235151002
  Medicare reassignment Care Compare group NPD
• Warwick Anesthesia Group LLC

  • Anesthesiology Physician
  • Warwick, NY
  • NPI 1689085250
  Medicare reassignment NPD

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

• St. Anthony Community Hospital

  • General Acute Care Hospital
  • Warwick, NY
  • NPI 1598755324
  Care Compare affiliation

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1477880664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109900875",
            "telephone_number": "845-294-2006",
            "fax_number": "845-615-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE AVE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901028",
            "telephone_number": "845-294-2006",
            "fax_number": "845-615-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLER",
        "first_name": "MARC",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2050577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol P Taylor, M.D.
• The Herbert Kania Pediatric Group
• The Herbert Kania Pediatric Group
• Gary W. Theall, M.D.
• Annmarie Thiessen
• Timur Lokshin LMT, Lac, PC.
• Transportation Services of Orange County, Inc.
• Trauma and Resiliency Resources, Inc.
• Tri-State Foot and Ankle
• Melanie Anne Troy, FNP-BC

• Specialist in Warwick, NY
• Providers in Warwick, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.