Active NPI
Donald Clarke Tilton, D.O.
- Radiation Oncology Physician
- Dover, DE
National Provider Identifier
1952380123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- C2-0000696
- Practice address
- 793 S Queen St
Dover, DE 19904-3568 - Phone
- (302) 674-4401
- Fax
- (302) 674-4129
- NPI assigned
- Jan 16, 2006
- Last updated
- Aug 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | C2-0000696 | DE | Primary |
Addresses
Primary practice location
793 S Queen St
Dover, DE 19904-3568
Mailing address
793 S Queen St
Dover, DE 19904-3568
Phone (302) 674-4401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160403 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0000696 | DE | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Strauss, Costleigh & Associates PA | Past | Accepting new patients | |
| Delaware Radiation Associates, PA | Radiation Oncology | Past | Accepting new patients |
| Delmarva Radiation Services, PA | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Dover, DE
- NPI 1306893458
-
- Radiation Oncology Physician
- Rehoboth Beach, DE
- NPI 1992740906
-
- Specialist
- Lewes, DE
- NPI 1063469468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187395200000",
"number": "1952380123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 S QUEEN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043568",
"telephone_number": "302-674-4401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 S QUEEN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043568",
"telephone_number": "302-674-4401",
"fax_number": "302-674-4129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "DONALD",
"middle_name": "CLARKE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2007-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "DE",
"license": "C2-0000696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160403",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.