DR. JUSTIN ULIP TILAN (NPI# 1790195824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790195824 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ULIP TILAN |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 6a/6b/12a Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8233 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147472500 |
| Practice Fax Number | 3147472598 |
| Mailing Telephone | 3147472500 |
| Mailing Fax Number | 3147472598 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
2017010648 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4921 PARKVIEW PL STE 6A/6B/12A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
| 1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
| 1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762570 | Mandip Singh | Orthopaedic Surgery | 3635 Vista Ave Fl 7, Saint Louis, MO 63110-2539 | 2019-07-23 |
| 1932581683 | Erin Lyn Hofer | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2015-06-18 |
| 1982014130 | Lauren Maccormick Tatman | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2014-04-28 |
| 1396067328 | Seth Gengler | Orthopaedic Surgery | 621 S New Ballas Rd Ste 5015b, Saint Louis, MO 63141-8270 | 2010-02-17 |
| 1477764504 | Anna Noel Miller | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-05-24 |
| 1336354760 | Christopher M Mcandrew | Orthopaedic Surgery | 4921 Parkview Pl Ste 6a6b, Ste 6a/6b, Saint Louis, MO 63110-1032 | 2007-05-11 |
| 1114139003 | St Louis University | Orthopaedic Surgery | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 2007-05-04 |
| 1700996022 | Mercy Orthopaedic Trauma Services, LLC | Orthopaedic Surgery | 621 S New Ballas Rd, Suite 3005-b, Saint Louis, MO 63141-8232 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700396298 | Lana Kay Foust | Orthopaedic Surgery | 3429 Harrison St # 1n, Kansas City, MO 64109-2912 | 2017-10-10 |
| 1891139572 | Brett Justin Pettett | Orthopaedic Surgery | 3045 S National Ave Ste 110, Springfield, MO 65804-4268 | 2013-04-24 |
| 1245434828 | David Joshua Merriman | Orthopaedic Surgery | 1229 E Seminole St, Ste 230, Springfield, MO 65804-2227 | 2007-06-14 |
| 1073737144 | Zachary V Roberts | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2007-04-12 |
| 1114967627 | Joshua Joe Niemann | Orthopaedic Surgery | 2521 Glenn Hendren Dr, Suite 204, Liberty, MO 64068-3388 | 2006-06-07 |
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.