Michaela L Tilgner, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

18179 Issued in NE

Practice address

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709

Phone

(402) 572-2324

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alegent Health Immanuel Medical Center

  • Cardiovascular Disease Physician
  • Omaha, NE
  • NPI 1912192907
  NPD (past)
• Midwest Medical Imaging Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1902975386
  NPD (past)
• Professional Medical Imaging LLC

  • Specialist
  • Lincoln, NE
  • NPI 1598944795
  NPD (past)
• Simonmed Imaging Nebraska LLC

  • Clinic/Center
  • Omaha, NE
  • NPI 1174809982
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1851341564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGNER",
        "first_name": "MICHAELA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "18179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851341564",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alandra Mae Tiffin
• Kassandra Tighe
• Kaylee Michelle Tighe
• Delphine Echwei Tigwere Epse Suhbusi
• Jolene M Tijerina, APRN, NP-C
• Jennifer Ann Tilleman, PHARM.D.
• Carl X Tiller Jr.
• Jolene Elizabeth Tiller
• Tydale Tiller
• Dalyce Jourdyne Tilley

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.