Organization Active NPI

Tilton Medical Associates, PLLC

  • Legal Medicine
  • Tilton, NH
National Provider Identifier
1770691263
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
6029 Issued in NH
Legal business name
TILTON MEDICAL ASSOCIATES, PLLC
Practice address
243 Main St
Tilton, NH 03276-5112
Phone
(603) 286-8907
Fax
(603) 286-8860
NPI assigned
Aug 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Roxanne Bramhall
Title
Administrative Assistant
Phone
(603) 286-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 6029 NH Primary

Addresses

Primary practice location

243 Main St
Tilton, NH 03276-5112

Mailing address

243 Main Street
Tilton, NH 03276
Phone (603) 286-8907

Other identifiers 2

IdentifierTypeStateIssuer
3000534MedicaidNH
8108689MedicaidNH

National Provider Directory

National Provider Directory

Locations

243 Main St
Tilton, NH 03276
Phone (603) 286-8860

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1770691263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MAIN STREET",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "03276",
            "telephone_number": "603-286-8907",
            "fax_number": "603-286-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765112",
            "telephone_number": "603-286-8907",
            "fax_number": "603-286-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILTON MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BRAMHALL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "603-286-8907"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NH",
            "license": "6029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000534",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8108689",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.