Tillyton LLC Ocean Blue Medical

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

TILLYTON LLC OCEAN BLUE MEDICAL

Practice address

908 E Causeway Blvd
Vero Beach, FL 32963-2234

Phone

(772) 360-4973

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Denise Tonner, MDNPI 1821171372

Title

President

Phone

(772) 360-4973

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise R Tonner, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Vero Beach, FL
  • NPI 1821171372
  Medicare reassignment NPD Authorized official
• Blessie Clontz, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1255707279
  Medicare reassignment NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1669110243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-360-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-360-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLYTON LLC OCEAN BLUE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "TONNER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-360-4973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Thomas
• Sharon D Thomas
• Chaute Thompson, LMHC
• Emily Thompson
• Elizabeth Tibensky, PT
• Timothy L Cocks MD PA
• Alana Tingen, MS, OTR/L
• Julie Barker Tinsley, LCSW
• Nicholas E Tisdale, MD
• Titheotokos, LLC

• Endocrinology, Diabetes & Metabolism Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.