Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT J TILLESON, D.O.
ActiveSCOTT J TILLESON, D.O. is a Family Medicine healthcare provider located in NEW BERLIN, Wisconsin. NPI 1508839390 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NEW BERLIN, WI
Registration Details
- NPI Number
- 1508839390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.489158689561 yrs)
- Last Updated
- Nov 9, 2011
- License
-
19446 (WI)
Practice Information
- Address
-
13900 W NATIONAL AVEPROHEALTH CARE MEDICAL ASSOCIATES INC.NEW BERLIN, WI, 531519515Browse WI providers · Browse ZIP 53151
- Phone
- 2629284500
- Fax
- 2629284550
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NEW BERLIN, WI
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS J MANKIEWICZ | MD | 1730186511 |
| MR. JAMES A CENSKY | MD | 1467459248 |
| MARGARET M. LEONHARDT | M.D. | 1538153416 |
| BRIAN P. MCSORLEY | M.D. | 1053305706 |
| DR. ROGER WILLIAM BEAUMONT | D.O. | 1649268061 |
| MAUREEN A PHILLIPS | MD | 1568446110 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.