Edward Dail Tillett in Louisville - Orthopaedic Surgery

Edward Dail Tillett - NPI 1700838703

Edward Dail Tillett is a Orthopaedic Surgery in Louisville, Kentucky. Edward Dail Tillett practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Edward Dail Tillett is 1700838703. The last update date is 2010-11-19.

Edward Dail Tillett's current location address is 201 Abraham Flexner Way, Louisville, Kentucky. You can contact this provider via phone number 5025878222 and fax number 5025870860. The mailing address for Edward Dail Tillett is 201 Abraham Flexner Way, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Dail Tillett
Address 201 Abraham Flexner Way, Louisville, Kentucky
Phone Number 5025878222
Fax Number 5025870860
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700838703
Provider Enumeration Date 2006-05-17
Last Updated Date 2010-11-19

Provider Mailing Address Detail

Address 201 Abraham Flexner Way
City Louisville
State Kentucky (KY)
Post Code 402020
Phone Number 5025878222
Fax Number 5025870860

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 22228
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
773853 KY MEDICARE-UNSPECIFIED
64222284 KY --
49351 KY ANTHEM/UNIV ORTHO ASSOC
100374040 KY --
1049630 KY PASSPORT/UNIV ORTHO ASSOC
1071560 KY PASSPORT / R G SHEA
4043364 KY AETNA / R G SHEA
200013351 KY RAILROAD MEDICARE / R G SHEA
2434923000 KY PASSPORT ADVANTAGE / R G SHEA
48044 KY ANTHEM / R G SHEA

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FAQs about Edward Dail Tillett

What is the unique identifier code issued to Edward Dail Tillett by the Centers for Medicare & Medicaid Services (CMS)?

The Edward Dail Tillett has been assigned the NPI (National Provider Identifier) 1700838703. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Edward Dail Tillett's physical address?

The Edward Dail Tillett is physically located at 201 Abraham Flexner Way, in the city of Louisville, KY, with the postal code 402020.

What is Edward Dail Tillett's area of expertise and its corresponding taxonomy classification?

The Edward Dail Tillett's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700838703 to Edward Dail Tillett?

The Centers for Medicare & Medicaid Services originally issued the 1700838703 to Edward Dail Tillett on 2006-05-17.

As of what date were the details pertaining to Edward Dail Tillett last refreshed?

The information related to the Edward Dail Tillett, including its address, specialty, and other relevant details, was last updated on 2010-11-19.

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