Mr. Zachary Bernard Tillett
Student in an Organized Health Care Education/Training Program

Address: Maine Medical Center 22 Bramhall St., Portland, ME 04102
Phone: 2076620111

Mr. Zachary Bernard Tillett (NPI# 1124656863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124656863
Entity Type Individual
Full Name Mr. Zachary Bernard Tillett
Credential MD
Gender Male
Practice Address Maine Medical Center 22 Bramhall St.
Portland
ME 04102
Practice Telephone 2076620111
Mailing Address 2410 Fairview Dr
Alexandria
VA 22306-6401
Mailing Telephone 7035829170
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-03-30
Last Update Date 2020-03-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1932721487 Gretchen Hillman Student in an Organized Health Care Education/Training Program Ohsu School of Nursing Office of Admissions, 3455 Sw Us Veterans Hospital Road, Sn-adm, Portland, OR 97239-2941 2020-05-07
1942821426 Jessica Dena Bonner Student in an Organized Health Care Education/Training Program 490 Nw Lost Springs Ter Ste 204, Portland, OR 97229-6643 2020-05-06
1902427511 Angelique Vasquez Student in an Organized Health Care Education/Training Program 4536 Se Franklin St, Portland, OR 97206-3115 2020-05-05
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1457971251 Eric Theodore Kriss Student in an Organized Health Care Education/Training Program 2730 Sw Moody Ave Bldg, Portland, OR 97201-5042 2020-04-21
1790313781 Brianna Marie Philbrick Student in an Organized Health Care Education/Training Program 22 Bramhall St # 2b, Portland, ME 04102-3175 2020-03-27
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
Find all providers in PORTLAND

Office Location

Street Address MAINE MEDICAL CENTER 22 BRAMHALL ST.
City PORTLAND
State ME
Zip Code 04102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1629582705 Felicity Colangelo Social Worker 602 Brighton Ave, Portland, ME 04102 2017-11-28
1033641253 Heidi Horstman Student in an Organized Health Care Education/Training Program 32 Bramhall St, Portland, ME 04102 2017-03-28
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
1053786525 Stephanie Mollica Social Worker 22 Bramhall Strret, Portland, ME 04102 2015-12-09
Find all providers in zip 04102

Competitor

Search similar providers

City PORTLAND
Zip Code 04102

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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.