NPIMap

Organization Active NPI

Steven J Tilles PA

  • Podiatrist
  • Baltimore, MD
National Provider Identifier
1629248224
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
402 Issued in MD
Legal business name
STEVEN J TILLES PA
Practice address
7131 Liberty Rd
Suite 100
Baltimore, MD 21207-4580
Phone
(410) 944-4000
Fax
(410) 281-1181
NPI assigned
Mar 11, 2008
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STEVEN J TILLES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Steven J Tilles, DPMNPI 1407868045
Title
Podiatrist
Phone
(410) 944-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 402 MD Primary

Addresses

Primary practice location

7131 Liberty Rd
Suite 100
Baltimore, MD 21207-4580

Mailing address

7131 Liberty Rd
Suite 100
Baltimore, MD 21207-4580
Phone (410) 944-4000

Other identifiers 1

IdentifierTypeStateIssuer
600928001MedicaidMD

National Provider Directory

National Provider Directory
Part of
Steven J Tilles DPM ASC

Locations

7131 Liberty Rd
Ste 100
Gwynn Oak, MD 21207
Phone (410) 944-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1629248224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "410-944-4000",
            "fax_number": "410-281-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074580",
            "telephone_number": "410-944-4000",
            "fax_number": "410-281-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J TILLES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEVEN J TILLES PA",
        "enumeration_date": "2008-03-11",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "TILLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "410-944-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600928001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.