MR. AUSTIN DALE TILLER (NPI# 1235774910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235774910 |
| Entity Type | Individual |
| Full Name | MR. AUSTIN DALE TILLER |
| Credential | PA-C |
| Practice Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Mailing Address |
17 Camden Cir Apt 404 Scott Depot WV 25560-5609 |
| Practice Telephone | 3048245806 |
| Practice Fax Number | 3048245804 |
| Mailing Telephone | 3046019915 |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144693656 | Austin Tiller | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| Street Address |
7400 LYNN AVE |
| City | HAMLIN |
| State | WV |
| Zip Code | 25523-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
| 1871089508 | Makenzie T Tiller | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2018-07-05 |
| 1992224745 | Richard Keith Finley | Pharmacist | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-09-13 |
| 1639694821 | Lorin Belcher | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-08-08 |
| 1528588563 | Aaron Hemlepp | Social Worker | 7400 Lynn Ave, Hamlin, WV 25523 | 2017-06-21 |
| 1992230262 | Laura Given | Family Medicine | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-04-25 |
| 1578018214 | Mara Wright Sutphin | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-08-23 |
| 1275986143 | Lisa Adkins | Nurse Practitioner | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-07-15 |
| 1801254412 | Jack Doty IIi | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-02-10 |
| 1265808422 | Alexis Marie Jones | Nurse Practitioner | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061747 | Jacqueline Jeffery | Technician | 43 Lees Lake Rd, Branchland, WV 25523 | 2020-07-23 |
| 1548708530 | William Timothy Denney | Counselor | 8009 Lynn Ave, Hamlin, WV 25523 | 2017-02-09 |
| 1689053621 | Salina A. Lyter | Clinical Exercise Physiologist | 51 Tortoise Ln., Hamlin, WV 25523 | 2015-05-22 |
| 1295179711 | Tri River Transit Authority | Non-emergency Medical Transport (VAN) | 753 Marconi Drive, Hamlin, WV 25523 | 2013-04-26 |
| 1841598125 | Maggi (margaret) Louise Perl | Massage Therapist | At Sharon's Kut & Kurl White's Shopping Plaza, Maggi's Massage Therapy, Hamlin, WV 25523 | 2011-03-10 |
| 1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1437336963 | Kelly Renee Kinder | Psychologist | 10 Marland Avenue, Hamlin, WV 25523 | 2008-01-28 |
| 1710184049 | Lincoln County Board of Education | Local Education Agency (LEA) | 10 Marland Ave, Hamlin, WV 25523 | 2007-06-29 |
| 1548359755 | Lincoln County Health Department | Public Health or Welfare | 8008 Court Ave, Courthouse Annex, Hamlin, WV 25523 | 2006-10-12 |
| Find all providers in zip 25523 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
| 1801254412 | Jack Doty IIi | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
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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.