Samuel Joseph Tillman, AU.D.
NPI 1588224612ActiveIndividual· Audiologist· Springfield, MO
Audiologist (AU.D.) in Springfield, Missouri, licensed in MO, with an NPI issued in June 2019. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1588224612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Jun 20, 2019 |
| Last updated in NPPES | Jun 20, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 2019020296 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (AR) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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