Individual provider Active NPI

Tiffany M Dillon, CAA

  • Anesthesiologist Assistant
  • Springfield, MO
National Provider Identifier
1518533959
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 269-6000
NPI assigned
May 27, 2021
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU Primary

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

1000 E Primrose St Ste 520
Springfield, MO 65807-7002

Other names 1

  • Tiffany Murdock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000732 MO Practitioner - Anesthesiology Assistant 0840692067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

200 NE 54TH St
Unit 200
Kansas City, MO 64118-4338
Phone (469) 863-9978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Sep 16, 2022 Accepting new patients
Ozark Anesthesia Associates, Inc. CurrentSince Jul 5, 2021 Accepting new patients

Locations

4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

200 NE 54th St
Unit 200
Kansas City, MO 64118

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 569-2918

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 729-9780

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557

3535 S National Ave
Springfield, MO 65807
Phone (417) 269-9800

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1518533959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST STE 520",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-04-18",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MURDOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.