Jon Dalton Tillinghast, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

8489 Issued in OK

Practice address

1000 NE 10TH St
Oklahoma State Department of Health TB Division
Oklahoma City, OK 73117-1299

Phone

(405) 271-4060

Fax

(405) 271-6680

NPI assigned

Apr 16, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760607485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 4TH ST",
            "address_2": "#211",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021638",
            "telephone_number": "405-235-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NE 10TH ST",
            "address_2": "OKLAHOMA STATE DEPARTMENT OF HEALTH TB DIVISION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171299",
            "telephone_number": "405-271-4060",
            "fax_number": "405-271-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLINGHAST",
        "first_name": "JON",
        "middle_name": "DALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OK",
            "license": "8489",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "D3533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian John-Coleman Tiger
• Phyllis Gail Tiger, LPN
• Robin Tyrone Tiger
• Christina Michelle Tilford, PT
• Michelle Tillinger, RD, LD
• Kimberly Tillis
• Rhonda Lashelle Tillis, BHRS
• Meghann Laurel Tillison, LMFT
• Tina Michele Tillison, APRN, CNP
• Tammy Lynne Tillman-Lind, LPC-S

• Public Health & General Preventive Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Public Health & General Preventive Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.