DR. TILLMAN E. DODD JR. (NPI# 1497738140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497738140 |
| Entity Type | Individual |
| Full Name | DR. TILLMAN E. DODD JR. |
| Credential | M.D. |
| Practice Address |
283 Madonna Rd Suite B San Luis Obispo CA 93405-5432 |
| Practice Telephone | 8055498880 |
| Practice Fax Number | 8057832009 |
| Mailing Telephone | 8055498880 |
| Mailing Fax Number | 8057832009 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C38988 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
283 MADONNA RD SUITE B |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114351814 | Teah Kerr Nash | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2013-08-29 |
| 1508064593 | Katherine Jane Berman | Physician Assistant | 283 Madonna Rd, San Luis Obispo, CA 93405-5432 | 2007-07-11 |
| 1598889735 | Gary Scott Cooper | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2007-03-16 |
| 1073558748 | Jacqualine J. Dancy | Physician Assistant | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2006-06-18 |
| 1235112988 | Brian M. Roberts | Emergency Medicine | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2005-11-28 |
| 1295718849 | Medstops Medical Clinic, Inc. | Clinic/Center | 283 Madonna Rd, Suite B, San Luis Obispo, CA 93405-5432 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225043789 | Samuel Slishman | Emergency Medicine | 387 Lincoln St, San Luis Obispo, CA 93405-2331 | 2006-07-30 |
| 1295781615 | Cep America - California | Emergency Medicine | 1911 Johnson Avenue, San Luis Obispo, CA 93401 | 2006-05-26 |
| 1568410173 | Mark K Eckert | Emergency Medicine | 1010 Murray Avenue, San Luis Obispo, CA 93401 | 2006-05-05 |
| 1568856474 | Kyle Richard Kelson | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-03-28 |
| 1154736734 | Sean Andrews | Emergency Medicine | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2014-06-23 |
| 1104152511 | Kenyon Tsao | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2009-10-20 |
| 1932363215 | Lucas Douglas Karaelias | Emergency Medicine | 1911 Johnson Ave, French Hospital Medical Ctr/dept. of Emergency Medicine, San Luis Obispo, CA 93401-4131 | 2008-07-15 |
| 1114131489 | Kristopher Lyon | Emergency Medicine | 1911 Johnson Ave, French Hospital Emergency Department, San Luis Obispo, CA 93401-4131 | 2007-05-09 |
| 1831221480 | Amy Elizabeth Olin | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2007-03-09 |
| 1447309067 | Richard David Griffith | Emergency Medicine | 1911 Johnson Ave, San Luis Obispo, CA 93401-4131 | 2007-01-10 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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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.