Provider Demographics
NPI:1831150002
Name:TIROTTA, CHRISTOPHER F (MD, MBA, FASA)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:F
Last Name:TIROTTA
Suffix:
Gender:M
Credentials:MD, MBA, FASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3168 INVERNESS
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1816
Mailing Address - Country:US
Mailing Address - Phone:954-683-1468
Mailing Address - Fax:954-665-2820
Practice Address - Street 1:231 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1821
Practice Address - Country:US
Practice Address - Phone:502-629-6000
Practice Address - Fax:502-451-4553
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME51023207L00000X, 207LP3000X
ARE-16816207L00000X, 207LP3000X
VT042.0018514-COMP207L00000X
PAMD487616207LP3000X
KYC3893207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL063504900Medicaid
KY7101059790Medicaid