DR. THERON C TILGNER (NPI# 1497724413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497724413 |
| Entity Type | Individual |
| Full Name | DR. THERON C TILGNER |
| Credential | D.O. |
| Practice Address |
1720 Mesquite Ave Suite 102 Lake Havasu City AZ 86403-5602 |
| Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
| Practice Telephone | 9288543333 |
| Practice Fax Number | 9288543335 |
| Mailing Telephone | 6029439200 |
| Mailing Fax Number | 6022163000 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3501 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 496324 | 05 |
| Street Address |
1720 MESQUITE AVE SUITE 102 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370975 | Theron C Tilgner D O LLC | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| 1538338058 | Fps Medical Center Ltd | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2008-02-28 |
| 1104982719 | Apex Diagnostic Services, Inc. | Radiology | 1720 Mesquite Ave, Lake Havasu City, AZ 86403-5602 | 2006-12-28 |
| 1609971076 | Philip Andre' St. Raymond | Urology | 1720 Mesquite Ave, Suite 100b, Lake Havasu City, AZ 86403-5602 | 2006-09-13 |
| 1871511295 | Jeffrey Jay Carls | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403 | 2006-07-17 |
| 1639110679 | Saul Alvarez | Respiratory Therapist, Certified | 1720 Mesquite Ave, #201, Lake Havasu City, AZ 86403 | 2006-06-09 |
| 1851338917 | Peter Dux | Emergency Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2006-05-31 |
| 1104895655 | Margaret B Holmes | Physician Assistant | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564916 | Lakeside Orthopedic Institute LLC | Orthopaedic Surgery | 1791 Mesquite Ave, Lake Havasu City, AZ 86403-5648 | 2006-07-05 |
| 1275561425 | John E Lankenau | Orthopaedic Surgery | 72 Lake Havasu Ave S, Lake Havasu City, AZ 86403-0857 | 2006-06-28 |
| 1952370975 | Theron C Tilgner D O LLC | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
| 1356695431 | Desert Mountain Orthopaedics & Sports Medicine LLC | Orthopaedic Surgery | 297 Lake Havasu Ave S, Suite 108, Lake Havasu City, AZ 86403-6526 | 2012-10-29 |
| 1679764229 | Lakeside Orthopedic Institute LLC | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2007-08-08 |
| 1972691582 | Marc Herbert Zimmerman | Orthopaedic Surgery | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2006-10-10 |
| 1043245293 | William F Binder | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2006-07-12 |
| 1861462608 | Marc H. Zimmerman, M.d.p.c. | Orthopaedic Surgery | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2006-01-24 |
| 1841270873 | Daniel Edward Heiner | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2006-01-17 |
| 1649265596 | Eung Jun Cha | Orthopaedic Surgery | 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 | 2005-09-16 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on DR. THERON C TILGNER.
| 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.