LAUREN TILLEY


Address: 4301 W Markham St # 720, Little Rock, AR 72205-7101
Phone: 5016868760

LAUREN TILLEY (NPI# 1780282566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780282566
Entity Type Individual
Full Name LAUREN TILLEY
Credential PA-C
Practice Address 4301 W Markham St # 720
Little Rock
AR 72205-7101
Practice Telephone 5016868760
Practice Fax Number 5016868843
Mailing Telephone 5016868760
Mailing Fax Number 5016868843
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
PT2020-055 AR Allopathic & Osteopathic Physicians

Office Location

Street Address 4301 W MARKHAM ST # 720
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
Find all providers in zip 72205

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689021420 Boyette Facial Plastic Surgery, Pa Surgery 9601 Lile Dr., Medical Towers Building 1, Suite 970b, Little Rock, AR 72205-6321 2016-05-23
1588899645 Eric Jason Wright Surgery 1701 Centerview Dr Ste 201, Little Rock, AR 72211-4312 2009-05-19
1114989233 Suzanne Wong Yee Surgery 11811 Hinson Rd, Little Rock, AR 72212 2006-04-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871666446 Gary M Petrus Md Pa Surgery 2504 Mccain Blvd, Suite 114, North Little Rock, AR 72116-7624 2006-11-15
1841381662 Roger N. Bise, Md Pa Surgery 2713 S 74th St, Suite 302, Fort Smith, AR 72903-5170 2006-09-27
1225042377 Adam G. Newman Surgery 200 N College St, Mountain Home, AR 72653-3654 2006-07-27
1649236852 Roger Neal Bise Surgery 2713 S 74th St, Suite 302, Fort Smith, AR 72903-5170 2006-04-25

Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

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.

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