Individual provider Active NPI

Josiah B Tilton IV, M.D.

  • Anesthesiology Physician
  • Midland, TX
National Provider Identifier
1851490957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K6364 Issued in TX
Practice address
2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885
Phone
(432) 699-0306
Fax
(432) 520-2181
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K6364 TX Primary

Addresses

Primary practice location

2706 W Cuthbert Ave
Building B, Ste 100
Midland, TX 79701-3885

Mailing address

PO Box 4157
Midland, TX 79704-4157
Phone (432) 699-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000482 TX Practitioner - Anesthesiology 4082707252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group of the Permian Basin, LLP 48 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (432) 221-1111

5609 Deauville
Midland, TX 79706-2870
Phone (432) 699-4224

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K6364TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group of the Permian Basin, LLP Anesthesiology CurrentSince Mar 1, 2007 Accepting new patients

Locations

2706 W Cuthbert Ave
Ste B100
Midland, TX 79701
Phone (432) 520-0291

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

2200 W Illinois Ave
Midland, TX 79701
Phone (432) 685-1558

5609 Deauville
Midland, TX 79706
Phone (432) 697-3629

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851490957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4157",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797044157",
            "telephone_number": "432-699-0306",
            "fax_number": "432-520-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 W CUTHBERT AVE",
            "address_2": "BUILDING B, STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797013885",
            "telephone_number": "432-699-0306",
            "fax_number": "432-520-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "JOSIAH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.