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SCOTT J TILLESON D.O.
NPI 1508839390
Family Medicine in New Berlin, WI

Active since February 10, 2006
13900 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., NEW BERLIN, WI 53151(262) 928-4500(262) 928-4550 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott J Tilleson D.o. NPPES

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

SCOTT J TILLESON D.O. (NPI 1508839390) is an individual family medicine provider in New Berlin, Wisconsin, licensed in Wisconsin (19446) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1508839390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSCOTT J TILLESONCredential: D.O.
Location Address13900 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC.New Berlin, WI 53151-9515
Mailing AddressN17 W24100 Riverwood Drive Suite 250, Prohealth Care Medical Associates Inc.Waukesha, WI 53188 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 928-4500
Fax(262) 928-4550
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateNovember 9, 2011
✔ NPI 1508839390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 19446
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.
13900 W NATIONAL AVE, New Berlin, WI 53151
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Other Identifiers 3

Medicaid30040300WI
Medicare UPINB57154WI
Medicare PIN683750666WI

Other Providers at the Same Location NPPES 13

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

CHARLES R RUNNING M.D.
Family Medicine
13900 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500
DR. KRISZTIAN NEMETH MD, PHD
Dermatology
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500
DR. WILLIAM JOSEPH CRINZI DDS
Dentist (General Practice)
13900 W NATIONAL AVE, SUITE 201
NEW BERLIN, WI 53151
Waukesha County (262) 786-2566
ELIZABETH A BORST PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4036
MAGDALENA M RUTKOWSKI MD
Family Medicine
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500
KELSEY KOENIG
Family Medicine
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500
KAITLYN ELIZABETH PERRY STUDINSKI
Nurse Practitioner (Family)
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500
SCOTT WILLIAM STAUDER MD
Family Medicine
13900 W NATIONAL AVE
NEW BERLIN, WI 53151
Waukesha County (262) 928-4500

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 Scott Tilleson's NPI number?

The NPI number for Scott Tilleson is 1508839390. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Scott Tilleson located?

Scott Tilleson practices at 13900 W National Ave Prohealth Care Medical Associates Inc., New Berlin, WI 53151. The listed phone number is (262) 928-4500.

What is Scott Tilleson'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 Scott Tilleson was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.