Stanley James Tillinghast in Davis - Cardiovascular Disease
Stanley James Tillinghast - NPI 1467580225
Stanley James Tillinghast is a Cardiovascular Disease in Davis, California. Stanley James Tillinghast practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Stanley James Tillinghast is 1467580225. The last update date is 2009-04-24.
Stanley James Tillinghast's current location address is 2413 Rivendell Ln, Davis, California. You can contact this provider via phone number 6504003105. The mailing address for Stanley James Tillinghast is 2413 Rivendell Ln, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley James Tillinghast |
|---|---|
| Address | 2413 Rivendell Ln, Davis, California |
| Phone Number | 6504003105 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467580225 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2009-04-24 |
Provider Mailing Address Detail
| Address | 2413 Rivendell Ln |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956163058 |
| Phone Number | 6504003105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 15000 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 629917-01 | HI | -- | |
| 282038 | HI | HMSA BILLING NUMBER |
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What is the unique 10-digit identification code issued to Stanley James Tillinghast by the Centers for Medicare & Medicaid Services?
The Stanley James Tillinghast has been assigned the NPI (National Provider Identifier) 1467580225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Stanley James Tillinghast located?
The Stanley James Tillinghast is located at 2413 Rivendell Ln, Davis, CA 956163058.
What is Stanley James Tillinghast's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stanley James Tillinghast's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
When did the Stanley James Tillinghast receive its 1467580225?
The Stanley James Tillinghast was issued its 1467580225 on 2007-03-01, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Stanley James Tillinghast most recently updated or revised?
The details related to Stanley James Tillinghast, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-24.