Theron C Tilgner D O LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

THERON C TILGNER D O LLC

Doing business as

Orthopedic Innovations

Practice address

387 Lake Havasu Ave S Ste 101
Lake Havasu City, AZ 86403-9306

Phone

(928) 854-3333

Fax

(928) 854-3335

NPI assigned

Mar 14, 2006

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theron C Tilgner, D.O.NPI 1497724413

Title

President

Phone

(928) 854-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ORTHOPEDIC INNOVATIONS Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Orthopedic Innovations2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Theron C Tilgner D O LLC

  dba Orthopedic Innovations

  • Customized Equipment (DME)
  • Lake Havasu City, AZ
  • NPI 1558166090
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theron C Tilgner, D.O.

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1497724413
  Medicare reassignment NPD Authorized official
• Summer Yvonne Tilgner, DNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1265745277
  Medicare reassignment NPD
• David Charles King, MD

  • Occupational Medicine Physician
  • Post Falls, ID
  • NPI 1043204100

  Orthopaedic Surgery

  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1952370975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 LAKE HAVASU AVE S STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039306",
            "telephone_number": "928-854-3333",
            "fax_number": "928-854-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 LAKE HAVASU AVE S STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039306",
            "telephone_number": "928-854-3333",
            "fax_number": "928-854-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERON C TILGNER D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "TILGNER",
        "authorized_official_first_name": "THERON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-854-3333",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999328",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORTHOPEDIC INNOVATIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ORTHOPEDIC INNOVATIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa J Tibbetts M D LLC
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• Emily Tetzlaff
• Therapeutic Consultants LLC (FYZICAL therapy and Balance Centers)
• Theron C Tilgner D O LLC (Orthopedic Innovations)
• THN Hear, Inc (Miracle Ear Hearing Center)
• Elisa Renee Thomas, R.N.
• Betty Jane Thornton Rounds, LCSW
• Thrive Healthcare FNP Inc
• Teresa J Tibbetts, MD

• Orthopaedic Surgery Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.