Ludwig Axel Philip Tilly is a Other Technician practicing in Grand Rapids, Michigan. The National Provider Identifier (NPI) is #1811718042, which was assigned on October 21, 2024, and the registration record was last updated on October 21, 2024. The practitioner's main practice location is at 2925 Breton Rd Se, Grand Rapids, MI 49512-1745; the contact telephone number is 6162434336. The primary taxonomy of Ludwig Axel Philip Tilly is Other Technician (247200000X).
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
| NPI | 1811718042 |
| Entity Type | Individual |
| Provider Name | LUDWIG AXEL PHILIP TILLY |
| Gender | Male |
| Practice Address |
2925 Breton Rd Se Grand Rapids MI 49512-1745 |
| Practice Telephone | 6162434336 |
| Mailing Address |
4569 Quail Ridge Ct Ne Ada MI 49301-8508 |
| Certification Date | 2024-10-21 |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other |
| Code | 247200000X |
| Taxonomy | Other Technician |
| Classification | Technician, Other |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Definition: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland's Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster's II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Savannah Benedict | 2033 N Highway 190, Covington, LA 70433-8985 | Other Technician | 2024-12-16 |
| Julieta Pisa | Imperial Business Park, 4819 Emperor Boulevard, Suite 400, Durham, NC 27703-5420 | Other Technician | 2025-01-08 |
| Keisha Desgouttes | 3579 Atherstone Rd, Cleveland Hts, OH 44121-1355 | Other Technician | 2024-12-13 |
| Gabriel Patrick Wood | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2024-12-11 |
| Yusufu Zenabu | 1523 Ferris Rd Apt A3, Columbus, OH 43224-2117 | Other Technician | 2025-01-02 |
| Abigail Paige Dawson | 6549 Town Center Dr, Clarkston, MI 48346-4824 | Other Technician | 2025-01-08 |
| Carolyn Thompson | 13231 Lantern Hill Ct, Silver Spring, MD 20906-5804 | Other Technician | 2025-01-07 |
| Nareese M Watson | 12301 Main St, Houston, TX 77035-6207 | Other Technician | 2024-12-31 |
| Jessica Hurley | 5501 Ne 109th Ct Ste N, Vancouver, WA 98662-6174 | Other Technician | 2025-01-07 |
| Gloria D Artis | 315 University Ave, Westwood, MA 02090-2315 | Other Technician | 2025-01-06 |
| Find all providers with the same taxonomy | |||
| Street Address |
2925 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-1745 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jakia Michelle Jackson | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2023-06-15 |
| Dezaraya Fields | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2023-05-31 |
| Gabriel Patrick Wood | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2024-12-11 |
| Yaren Duriye Hazel | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2023-05-31 |
| Robin Garn | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Behavior Technician | 2022-10-13 |
| Makayla Dickerson | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Behavior Technician | 2024-03-12 |
| Paige Nicole Kuhn | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2023-06-06 |
| Lana Price | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Other Technician | 2023-07-18 |
| Keyara Matthews | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Behavior Technician | 2024-05-15 |
| Darin Ogle | 2925 Breton Rd Se, Grand Rapids, MI 49512-1745 | Behavior Technician | 2024-06-12 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brian Matthew Kreisman | 2907 Breton Rd Se, Grand Rapids, MI 49512-1745 | Audiologist | 2022-05-12 |
| Noonplace Inc | 2907 Breton Rd Se, Grand Rapids, MI 49512-1745 | Optometrist | 2022-12-19 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Frantzie Pierre · Frantzie Fils-Aime | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | Mental Health Counselor | 2017-03-20 |
| Hope Network | 3592 Meadow Grave Dr Se, Kentwood, MI 49512 | Rehabilitation Psychologist | 2023-06-15 |
| Sarah Harlow | 2951 44th St Se, Kentwood, MI 49512 | Physical Therapist | 2017-08-31 |
| Pharmascript of Michigan Gr LLC | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | Long Term Care Pharmacy | 2018-07-16 |
| Janelle Moulding | 3300 36th St Se, Grand Rapids, MI 49512 | Addiction (Substance Use Disorder) Counselor | 2018-06-01 |
| National Vision, Inc. · Eyeglass World | 2735 28th Street Se, Grand Rapids, MI 49512 | Eyewear Supplier | 2007-03-07 |
| Hello Life LLC | 4460 44th St Se, Suite C- 600, Grand Rapids, MI 49512 | Registered Nurse | 2010-06-16 |
| Jessica S Grevenstuk | 3807 Lake Eastbrook Blvd Se, Grand Rapids, MI 49512 | Behavior Technician | 2021-03-10 |
| Kowalski Dental, PLLC · 44th Street Dental | 2450 44th Street Se, St 203, Kentwood, MI 49512 | General Practice Dentistry | 2023-04-20 |
| Joy Morin | 3361 36th St Se, Kentwood, MI 49512 | Behavior Technician | 2018-05-21 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Krista Tilly | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | Student in an Organized Health Care Education/Training Program | 2019-07-25 |
| Sarah A. Tilly | 8101 E Lowry Blvd, Suite 230, Denver, CO 80230-7196 | Surgical Physician Assistant | 2006-07-06 |
| Nicole Axel Storrow · Nico Axel Storrow | 1415 Addison Street, Berkeley, CA 94702 | Marriage & Family Therapist | 2016-06-01 |
| Josephine Ludwig, LLC · Ludwig Counseling and Spiritual Directions | 10176 Corporate Square Dr, Suite 100 S, Saint Louis, MO 63132-2924 | Community/Behavioral Health Agency | 2014-07-09 |
| Maryellen Tilly | 15100 Rescue Way, Dental, Clearwater, FL 33762-3502 | Dental Hygienist | 2008-05-12 |
| Tilly Schmidt | 54 Hospital Dr, Suite 201, Osage Beach, MO 65065-3050 | Registered Nurse | 2016-11-30 |
| Chase Axel Ludwig | 300 Pasteur Dr, Stanford, CA 94305-2200 | Ophthalmology Physician | 2016-05-20 |
| Jane B Tilly | 770 Pennsylvania Ave, West Bend, WI 53095-4142 | Registered Nurse | 2006-05-13 |
| Susan Tilly | 12261 W 159th St, Homer Glen, IL 60491-7847 | Orthopedic Physical Therapist | 2006-10-25 |
| Tilly K Keung | 2120 N Mays St Ste 230, Round Rock, TX 78664-2108 | Nutritionist | 2008-05-21 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |