MR. MICHAEL ANDREW TILLERY (NPI# 1558725580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558725580 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ANDREW TILLERY |
| Credential | PA-C |
| Practice Address |
1200 N Elm St Advanced Heart Failure Clinic Greensboro NC 27401-1004 |
| Practice Telephone | 3368629292 |
| Practice Fax Number | 3368329293 |
| Mailing Telephone | 3368629292 |
| Mailing Fax Number | 3368329293 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-06349 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980694 | Michael Tillery | Specialist/Technologist | 4350 Constellation Rd, Lompoc, CA 93436-1033 | 2019-03-04 |
| 1326595786 | Michael Tillery | Registered Nurse | 65 Sail Maker Ln, Richmond Hill, GA 31324-6260 | 2016-09-02 |
| 1356494462 | Michael Fredrick Tillery | Dentist | 3410 N High School Rd, Suite B, Indianapolis, IN 46224-1742 | 2007-01-19 |
| Street Address |
1200 N ELM ST ADVANCED HEART FAILURE CLINIC |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485346 | Vineet Kumar Gupta | Pediatrics | 1200 N Elm St, Pediatric Critical Care Services, Greensboro, NC 27401-1004 | 2005-05-27 |
| 1114524469 | Jamilla Walker | Registered Nurse | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-10-08 |
| 1770190514 | Sara Elizabeth Early | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1972110708 | Jessica Asaro | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1316554231 | Amy Jeanette Brown Stephens | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-24 |
| 1588281588 | Christopher Jordan Walston | Pharmacist | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-06-25 |
| 1497378632 | Sadia Aslam | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-22 |
| 1235752825 | Rylee Christian | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-18 |
| 1730701590 | Ellen Jones | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-14 |
| 1508488065 | Steven Craig Winters Jr. | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1700869856 | Arlo C. Lassen | Physician Assistant | 1309 N Elm St, Greensboro, NC 27401-1005 | 2005-11-22 |
| 1417955410 | Matthew Lloyd Strupp | Physician Assistant | 1000 Spring Garden Street, Anna Gove Student Health Center, Greensboro, NC 27402-6170 | 2005-07-13 |
| 1205450400 | Wylder Fondaw | Physician Assistant | 1126 N Church St, Greensboro, NC 27401-1000 | 2020-06-03 |
| 1255968376 | Cadence Hilary Furth | Physician Assistant | 1126 N Church St Ste 300, Greensboro, NC 27401-1037 | 2020-03-26 |
| 1386284305 | Margaux Venter | Physician Assistant | 1121 N Church St, Greensboro, NC 27401 | 2020-01-07 |
| 1275095499 | Brandon Anthony Morelli | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2019-04-05 |
| 1952875288 | Alexandra Marie Louk | Physician Assistant | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2019-01-21 |
| 1932605862 | Sophia Caccavale | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2018-03-31 |
| 1902348667 | Kelly Gekas | Physician Assistant | 1200 N Elm St, Greensboro, NC 27401-1004 | 2016-11-12 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on MR. MICHAEL ANDREW TILLERY.
| 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.