TILTONSVILLE CLINIC, LLC
NPI 1063412450
Family Medicine in Tiltonsville, OH

Active since July 28, 2005
342 JEFFERSON ST, TILTONSVILLE, OH 43963(740) 859-2121(740) 859-2443 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiltonsville Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILTONSVILLE CLINIC, LLC (NPI 1063412450) is a healthcare organization registered as a family medicine in Tiltonsville, Ohio and active in the NPI registry since July 2005. The organization lists Douglas Scott Trubiano, Director Owner, as its authorized official.

NPPES Registry Identity

NPI1063412450
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTILTONSVILLE CLINIC, LLC
Location Address342 JEFFERSON STTiltonsville, OH 43963-1058
Mailing Address342 Jefferson StTiltonsville, OH 43963-1058 · (740) 859-2121 · Fax (740) 859-2443
Fax(740) 859-2443
Organization SubpartNo
Authorized OfficialDouglas Scott TrubianoDirector Owner · (740) 859-2121
Enumeration DateJuly 28, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1063412450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34007831T
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
342 JEFFERSON ST, Tiltonsville, OH 43963

Other Identifiers 7

Other205446Advantra Pin#
Other236049386002OH · Med. Mut Pin#
Other000000301650Anthem Pin#
Other224201Health America/assurance
Medicaid2346429OH
OtherHEALTH PLAN OF UPPEROH · Hmo Pin#
Other7576355Aetna Pin#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
342 JEFFERSON ST
TILTONSVILLE, OH 43963
Internal Medicine
342 JEFFERSON ST
TILTONSVILLE, OH 43963

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiltonsville Clinic, LLC's NPI number?

The NPI number for Tiltonsville Clinic, LLC is 1063412450. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is Tiltonsville Clinic, LLC located?

Tiltonsville Clinic, LLC is located at 342 Jefferson St, Tiltonsville, OH 43963. The listed phone number is (740) 859-2121.

What is Tiltonsville Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tiltonsville Clinic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.