DR. BARRY FORREST TILLMAN (NPI# 1457349110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457349110 |
| Entity Type | Individual |
| Full Name | DR. BARRY FORREST TILLMAN |
| Credential | M.D. |
| Practice Address |
107 Front St Vidalia LA 71373-2836 |
| Practice Telephone | 3183362216 |
| Practice Fax Number | 3183366075 |
| Mailing Telephone | 3183362216 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
11444 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
07480R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0115584 | 05 | |
| LA | 1371483 | 05 |
| Street Address |
107 FRONT ST |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251996 | Iley Floyd Dillon | Internal Medicine | 107 Front St, Suite 2109, Vidalia, LA 71373-2836 | 2005-08-09 |
| 1992326359 | Riverpark Dermatology Services LLC | Dermatology | 107 Front St, Rm 1-129, Vidalia, LA 71373 | 2020-04-27 |
| 1356875637 | Perfusion Vascular Vidalia LLC | Surgery | 107 Front St, Vidalia, LA 71373-2836 | 2017-04-13 |
| 1275985012 | Riverfront Urgent Care Center LLC | Orthopaedic Surgery | 107 Front St, Ste 2138, Vidalia, LA 71373-2836 | 2016-07-05 |
| 1407249766 | Riverpark Counseling LLC | Social Worker | 107 Front St, Ste 2134, Vidalia, LA 71373-2836 | 2015-03-11 |
| 1700937950 | Michael R Wimberly II | Physical Therapist | 107 Front St, Suite 230, Vidalia, LA 71373-2836 | 2007-01-15 |
| 1336209550 | J H Fairbanks, Md Pllc | Orthopaedic Surgery | 107 Front St, Suite 230, Vidalia, LA 39120 | 2006-12-11 |
| 1649341082 | Lisa Cazalot | Nurse Practitioner | 107 Front St, Vidalia, LA 71373-2836 | 2006-11-09 |
| 1255421038 | Riverpark Laboratory Services | Clinical Medical Laboratory | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-13 |
| 1730276965 | Riverpark Community Cath Lab, LLC | Clinic/Center | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1437422821 | Costrini & Meadows, PC | Internal Medicine | 506 Jackson St, Vidalia, GA 30474-4730 | 2012-02-15 |
| 1649338997 | John E Schoell | Internal Medicine | 1707 Meadows Lane, Suite E, Vidalia, GA 30474 | 2006-12-05 |
| 1225531197 | Southeast Regional Primary Care Corporation | Internal Medicine | 1811 Edwina Dr, Vidalia, GA 30474-8963 | 2018-03-16 |
| 1134492531 | Costrini & Meadows, PC | Internal Medicine | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2012-02-15 |
| 1750651865 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 | 2012-01-05 |
| 1144590233 | Costrini & Meadows, PC | Internal Medicine | 1006 Mount Vernon Rd, Vidalia, GA 30474-3029 | 2012-01-05 |
| 1760664270 | South Georgia Pulmonary, Critical Care and Sleep Medicine | Internal Medicine | 1707 Meadows Ln, Suite E, Vidalia, GA 30474-7200 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997219 | Ramsy Assaf Abdelghani | Internal Medicine | 1415 Tulane Ave Fl 7, New Orleans, LA 70112-2600 | 2013-03-29 |
| 1770823098 | Emergency and Critical Care Services LLC | Internal Medicine | 8965 Highway 79, Greenwood, LA 71033-2721 | 2013-02-22 |
| 1104161843 | Christus Health and Lunn Pulmonology | Internal Medicine | 1455 E. Bert Kouns, Suite #202, Christus Health and Lunn Pulmonology, Shreveport, LA 71105 | 2012-12-06 |
| 1770872616 | Gbr, LLC | Internal Medicine | 155 Hospital Dr. Ste 101, Lafayette, LA 70503 | 2011-03-31 |
| 1992016133 | Andrea Rudomin Conant Lorio | Internal Medicine | 8120 Main Street, Suite 204, Houma, LA 70360 | 2010-06-22 |
| 1326208232 | Brian Jude Parker | Internal Medicine | 604 N Acadia Rd Ste 411, Thibodaux, LA 70301 | 2008-06-13 |
| 1841463114 | David Yoshi Patten | Internal Medicine | 3872 S Inwood Ave, New Orleans, LA 70131 | 2008-04-08 |
| 1750401022 | Richard C Hebert | Internal Medicine | 6267 Sevenoaks Ave, Baton Rouge, LA 70806-7301 | 2007-03-30 |
| 1982765947 | Roger Edmund Stueben | Internal Medicine | 1107 Audubon Ave, Suite B, Thibodaux, LA 70301 | 2006-12-13 |
| 1962593798 | Physicians of Sleep Associates LLC | Internal Medicine | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2006-09-27 |
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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.