Spencer B Tilley (NPI# 1710171038, PAC ID# 1658424858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1710171038 |
PAC ID by PECOS | 1658424858 |
Professional Enrollment ID | I20090805000807 |
Full Name | Spencer B Tilley |
Organization Legal Name | MEDICAL ASSOCIATES OF FREMONT, INC |
Address |
39225 State St Fremont CA 94538-1437 |
Phone Number | 5107941990 |
Gender | M |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4183777840 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050195 | WASHINGTON HOSPITAL |
Address | Phone | Organization |
---|---|---|
39225 State St, Fremont, CA 94538-1437 | 5107941990 | MEDICAL ASSOCIATES OF FREMONT, INC |
Organization Legal Name | MEDICAL ASSOCIATES OF FREMONT, INC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Subena K M Tilley | Family Medicine | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Surjit Mahal | Family Medicine | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Anmol S Mahal | Gastroenterology | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Street Address |
39225 STATE ST |
City | FREMONT |
State | CA |
Zip | 94538-1437 |
Name | Specialty | Organization | Address |
---|---|---|---|
Subena K M Tilley | Family Medicine | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Surjit Mahal | Family Medicine | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Anmol S Mahal | Gastroenterology | Medical Associates of Fremont, Inc | 39225 State St, Fremont, CA 94538-1437 |
Name | Specialty | Organization | Address |
---|---|---|---|
Basil R Besh | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joshua Ramos | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Fremont, CA 94538-1015 |
Kevin Ngai Ming Yeung | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Geeta Nasika | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Marci C Kneeter | Physical Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
Kelly Trautman | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Emily Hartnett | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joshua M Matthews | Orthopedic Surgery | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 231, Fremont, CA 94538-1015 |
Troy Clark Shelton | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Joan P Ferrari | Occupational Therapy | Basil R Besh Md Inc | 39180 Farwell Dr, Suite 211, Fremont, CA 94538-1015 |
Find all physicians in zip 94538 |
City | FREMONT |
Zip Code | 94538 |
Specialty | FAMILY MEDICINE |
City + Specialty | FREMONT + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.