DR. ELENA TILLY


Address: 300 Byrn St, Dorchester General Hospital, Cambridge, MD 21613-1908
Phone: 4102285511

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
0101044796 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 300 BYRN ST
DORCHESTER GENERAL HOSPITAL
City CAMBRIDGE
State MD
Zip Code 21613-1908

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City CAMBRIDGE
Zip Code 21613

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Dataset Information

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.

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