Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glennda Tiller, DO

Individual provider Family Medicine Physician · NPI 1992245120

Glennda Tiller, DO is a Family Practice in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Oklahoma State University, a 112-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2345 SW Blvd
Tulsa, OK 74107-2705
Phone: (918) 582-1980
Fax: (918) 561-1289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6509 (OK)

Record details

NPI number1992245120
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 7, 2017
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address2345 Southwest Blvd, Tulsa, OK 74107-2705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Oklahoma State University — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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