Jason Bulent Tilley, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6304 Issued in OK

Practice address

2900 S Telephone Rd Ste 250
Moore, OK 73160

Phone

(814) 232-1477

NPI assigned

Jun 22, 2011

Last updated

Jul 26, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, AR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Circle of Life

  dba Circle of Life Hospice

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460

  W-2 Managing Employee

  CMS ownership

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.

• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Flagg Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dardanelle, AR
  • NPI 1912464405
  Medicare reassignment NPD
• Circle of Life

  dba Circle of Life Hospice

  • Community Based Hospice Care Agency
  • Springdale, AR
  • NPI 1386755460
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1609162205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15705 HATTERLY LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730134179",
            "telephone_number": "814-232-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "73160",
            "telephone_number": "814-232-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36000 Darnall Loop",
            "address_2": "CRDAMC",
            "address_purpose": "LOCATION",
            "city": "Fort HOod",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "254-288-8234",
            "fax_number": "254-286-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "JASON",
        "middle_name": "BULENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Thompson, PHARMD
• Brandy Deann Thornton, MHR
• Thunder Care and Rehabilitation LLC (Thunder Care and Rehabilitation)
• Joanna Thurlo-Delacruz
• Staci Lynn Thurston, MS
• TK's Total Wellness, Inc
• Today's Therapy Solutions
• Taylor Tomlinson, PHARMD, RPH
• Alexis Tompkins
• Anna Tooman, P.T.

• Emergency Medicine Physician in Moore, OK
• Providers in Moore, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.