Tilden Blackmon-Graham

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP027116 Issued in PA

Practice address

800 Plaza Dr
Rostraver Township, PA 15012-4019

Phone

(724) 379-6850

NPI assigned

Apr 21, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1881381598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON-GRAHAM",
        "first_name": "TILDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP027116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Nicole Albert, PHARMD
• Kayla Anderson
• Jamie Andrews, LPC
• Amber Lynn Barr
• Belcity Home Care, LLC
• Marissa M Boyles, CRNP
• Leanna Lynn Bracknell, LSW, MSW
• Ashley E Braum, PHARM D
• Brian Keith Caramela
• Charles P. Gennaula, M.D., P.C.

• Family Medicine Physician in Rostraver Township, PA
• Providers in Rostraver Township, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.