P Praxis·MD
● Active Type 1 · Individual

Nathan Tillotson

Obstetrics & Gynecology·Caldwell, ID· NPI 1770670473 · Enumerated 2006 · 19 years on NPI
Tillotson is 1 of 1 obstetrics & gynecology providers in Caldwell and 1 of 8 in Idaho.
NPI age
19 years
Enumerated 2006-10-06
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
KS, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8 active obstetrics & gynecology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 12% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
315 E Elm St Ste 310
Caldwell, ID 836054881
📞 2084542035fax 2084541065
Mailing address
Po Box 742941
Atlanta, GA 303742941

Specialties

  • Obstetrics & Gynecology Primary
    A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.
    KS license #0546950 taxonomy 207VX0000X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    KY license #02426 taxonomy 207V00000X

Identifiers

TypeValueNotes
05 (OK) 200048030A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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