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

Mrs. Tiffany Marie Connolly

Individual provider Medical Physician Assistant · NPI 1164158580

Mrs. Tiffany Marie Connolly is a Physician Assistant in Moline, Illinois. Qualified in 2023, 3 years ago. Practices with Medical Arts Associates, Ltd, a 20-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2022

Practice location Address checks out

600 John Deere Rd Ste 200
Moline, IL 61265-6897
Phone: (309) 779-4282
Fax: (309) 779-4303
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085010364 (IL)

Record details

NPI number1164158580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2022
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Arts Associates, Ltd. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Moline