DR. CARLA ROSE TILLERY (NPI# 1770501280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770501280 |
| Entity Type | Individual |
| Full Name | DR. CARLA ROSE TILLERY |
| Credential | MD |
| Practice Address |
1190 E Nine Mile Rd Pensacola FL 32514-1651 |
| Practice Telephone | 8504748771 |
| Practice Fax Number | 8504799180 |
| Mailing Telephone | 8504748771 |
| Mailing Fax Number | 8504799180 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME78611 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257288500 | 05 |
| Street Address |
1190 E NINE MILE RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527293 | Michael E Kasabian | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2005-09-06 |
| 1093073751 | Melisa Clements | Nurse Practitioner | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2012-05-01 |
| 1659507986 | Serda C Hawthorne | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2009-06-01 |
| 1316198609 | Lorrie W. Knapp | Nurse Practitioner | 1190 E Nine Mile Rd, West Florida Senior Health Services, Pensacola, FL 32514-1651 | 2008-10-05 |
| 1417960162 | Philip A Ham Jr. | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2006-08-14 |
| 1417929902 | Walter Scott Bew | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2006-02-07 |
| 1700862265 | Debra Morgan Carr | Nurse Practitioner | 1190 E Nine Mile Rd, Senior Health Services, Pensacola, FL 32514-1651 | 2005-12-16 |
| 1255320636 | Pensacola Primary Care Inc | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2005-10-18 |
| 1194712554 | Edward Anthony Schuka | Family Medicine | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2005-09-30 |
| 1851386775 | Henry T Harden | General Practice | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1518468966 | Beacon Medical LLC | Internal Medicine | 5113 N Davis Hwy Ste 3, Pensacola, FL 32503-2035 | 2018-02-21 |
| 1164960142 | Laurie P. Sansbury, Jr. D.o. P.a. | Internal Medicine | 7164 Inniswold Dr, Pensacola, FL 32526-8034 | 2017-02-09 |
| 1205282688 | Brooks Alan Parker | Internal Medicine | 1008 E Lloyd St, Pensacola, FL 32503-6075 | 2016-05-04 |
| 1508211616 | Will Pope Walker | Internal Medicine | West Florida Hospital, Pensacola, FL 31514 | 2016-04-26 |
| 1902286743 | Donald Ford | Internal Medicine | 5375 N 9th Ave, Pensacola, FL 32504-8725 | 2015-06-07 |
| 1992128060 | Lise Moore Mungul | Internal Medicine | 5020 N Davis Hwy, Pensacola, FL 32503-2345 | 2014-01-27 |
| 1528308962 | Abc Medical House Calls, Inc. | Internal Medicine | 8596 Orange Ave, Pensacola, FL 32534-3345 | 2013-02-21 |
| 1902145758 | Frank R Murphy | Internal Medicine | 4400 Bayou Blvd Ste 20, Pensacola, FL 32503-1908 | 2013-02-13 |
| 1871877191 | Ward Dean | Internal Medicine | 5559 N Davis Hwy Ste B, Pensacola, FL 32503-2068 | 2011-10-05 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on DR. CARLA ROSE 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.