DR. DAVID TILLINGHAST (NPI# 1689685992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689685992 |
| Entity Type | Individual |
| Full Name | DR. DAVID TILLINGHAST |
| Credential | M.D. |
| Practice Address |
400 Saybrook Rd Suite 206 Middletown CT 06457-4773 |
| Mailing Address |
4 Farm Springs Rd Prohealth Physicians Farmington CT 06032-2573 |
| Practice Telephone | 8603440333 |
| Practice Fax Number | 8603449703 |
| Mailing Telephone | 8602845200 |
| Mailing Fax Number | 8602845333 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 033456 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
400 SAYBROOK RD SUITE 206 |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110354 | Roger D Luskind | Ophthalmology | 400 Saybrook Rd, Suite 100, Middletown, CT 06457-4773 | 2005-11-07 |
| 1386115806 | Rachel Mazzola | Nurse Practitioner | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2018-12-10 |
| 1801137039 | Courtney Rose Whittle | Physician Assistant | 400 Saybrook Rd, Suite 205, Middletown, CT 06457-4773 | 2013-03-13 |
| 1053663112 | Tamscot Yap | Optometrist | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2012-10-12 |
| 1972868198 | Pranav Kapoor | Family Medicine | 400 Saybrook Rd, Suite 205, Middletown, CT 06457-4773 | 2012-07-13 |
| 1760790968 | Mary Suzanne Izzo | Dietitian, Registered | 400 Saybrook Rd, Suite 110, Middletown, CT 06457-4773 | 2010-09-22 |
| 1356576128 | Kari Edelson | Pediatrics | 400 Saybrook Rd, Suite 206, Middletown, CT 06457-4773 | 2009-05-22 |
| 1770721862 | Barbara L Hughes | Counselor | 400 Saybrook Rd, Middletown, CT 06457-4773 | 2009-01-27 |
| 1801083498 | Kittie Lee Spedding | Dietitian, Registered | 400 Saybrook Rd, Suite 110, Middletown, CT 06457-4773 | 2007-09-27 |
| 1437375920 | Elizabeth Joslow Archambault | Dietitian, Registered | 400 Saybrook Rd, Shoreline Surgical Associates Suite 110, Middletown, CT 06457 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328162 | Kenneth Mark Robbins | Pediatrics | 10 Yellow Birch Rd, Middletown, CT 06457-4921 | 2010-01-09 |
| 1104066653 | James Y Cho | Pediatrics | 3 Manitto Pl, Middletown, NJ 07748-3707 | 2009-02-24 |
| 1982870077 | Warren Gilman | Pediatrics | 7 Starhaven Ave, Middletown, NY 10940-4617 | 2008-05-07 |
| 1528187572 | Dunning Road Pediatrics | Pediatrics | 390 Crystal Run Road Suite110, Middletown, NY 10941 | 2007-03-29 |
| 1932233293 | David Hill | Pediatrics | 100 Crystal Run Road, Suite 107, Middletown, NY 10940 | 2007-03-16 |
| 1912047861 | Middletown Community Health Center Inc | Pediatrics | 14 Grove Street, Middletown, NY 10940 | 2007-02-08 |
| 1780759050 | Chitra Vaidy | Pediatrics | 200 Cleaver Farm Rd Ste 201, Nemours Dupont Pediatrics, Middletown, Middletown, DE 19709-1630 | 2006-11-22 |
| 1851482236 | Gerard A. Kuhn | Pediatrics | Nemours Pediatrics Middletown, 200 Cleaver Farm Road Suite 201, Middletown, DE 19709-1630 | 2006-09-28 |
| 1801900741 | Diana E Small | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| 1992819833 | James Michael Komer | Pediatrics | 331 N Breier Road, Middletown, OH 45042 | 2006-08-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.