DR. ELENA TILLY (NPI# 1144393844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144393844 |
Entity Type | Individual |
Full Name | DR. ELENA TILLY |
Credential | MD |
Practice Address |
300 Byrn St Dorchester General Hospital Cambridge MD 21613-1908 |
Mailing Address |
16800 Queen Anne Bridge Rd Physician Billing Bowie MD 20716-3433 |
Practice Telephone | 4102285511 |
Practice Fax Number | 4102218783 |
Mailing Telephone | 3017753272 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2015-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101044796 | VA | Allopathic & Osteopathic Physicians |
Street Address |
300 BYRN ST DORCHESTER GENERAL HOSPITAL |
City | CAMBRIDGE |
State | MD |
Zip Code | 21613-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265414205 | Christine Garey | Anesthesiology | 300 Byrn St, Cambridge, MD 21613-1908 | 2005-11-16 |
1770184558 | Shore Health System, Inc | Clinical Medical Laboratory | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-11-06 |
1851905491 | Alexa L Burley | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2020-09-01 |
1548785017 | Leslie Fox | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2017-08-07 |
1821450768 | Jeff Biele | Counselor | 300 Byrn St, Cambridge, MD 21613-1908 | 2016-03-21 |
1225367642 | Michelle Mondal | Physician Assistant | 300 Byrn St, Cambridge, MD 21613-1908 | 2009-12-14 |
1336397942 | April Lyn Motovidlak | Clinical Nurse Specialist | 300 Byrn St, Cambridge, MD 21613-1908 | 2008-09-08 |
1326106121 | Stephen C Andrews | Nurse Practitioner | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-12-05 |
1164435830 | Frederick V Bauer | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-08-14 |
1437170115 | Mark David Deguzman | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
Find all providers in zip 21613 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720253156 | Farbod Nicholas Rahaghi | Internal Medicine | 73 Martin St, Apt 46, Cambridge, MA 02138-1641 | 2008-04-27 |
1164554945 | Susan Michele Cowley | Internal Medicine | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2007-03-09 |
1992779623 | Carey Thomson | Internal Medicine | 300 Mount Auburn St, Suite 419, Cambridge, MA 02138-5600 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831694066 | Rajesh M Shah M D | Internal Medicine | 8353 Governor Run, Ellicott City, MD 21043-3448 | 2018-03-29 |
1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
1871949917 | Penelope Scott, Md | Internal Medicine | 11824 Falls Rd, Cockeysville, MD 21030-1605 | 2016-05-08 |
1598121337 | Dennis Frank | Internal Medicine | 6 Southgate Ave, Annapolis, MD 21401-2710 | 2016-01-09 |
1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
1265852263 | James Shelhamer | Internal Medicine | Room 2c145 Bldg 10, Nih, Bethesda, MD 20892-0001 | 2014-04-17 |
1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
1699027151 | Jack E Zimmerman | Internal Medicine | 17612 Coatbridge Pl, Olney, MD 20832-2318 | 2012-10-09 |
1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.