WANDA SANTOS CIULLA (NPI# 1417460833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417460833 |
| Entity Type | Individual |
| Full Name | WANDA SANTOS CIULLA |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
509 S Main St Paris IL 61944-2325 |
| Mailing Address |
10027 Indian Boundary St Paris IL 61944-8253 |
| Practice Telephone | 2174658053 |
| Mailing Telephone | 2174655442 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
085000243 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 085000243 | NY | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 085000243 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085000243 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085000243 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 S MAIN ST |
| City | PARIS |
| State | IL |
| Zip Code | 61944-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497813216 | James Ciulla | General Practice | 509 S Main St, Paris, IL 61944-2325 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in zip 61944 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1073544516 | Alycia D Gibson | Physician Assistant | 405 Tyson Ave Ste B, Grace Clinic, Inc, Paris, TN 38242-4836 | 2006-07-05 |
| 1699742205 | Daphne Tracy Foust | Physician Assistant | 849 Volunteer Dr Ste 2, Paris, TN 38242-5483 | 2006-03-02 |
| 1760461016 | Lisa Dianne Hatch Hubbard | Physician Assistant | 706 E Wood St, Paris, TN 38242-4220 | 2006-01-14 |
| 1346247186 | Kerri Ann Mccabe Smith | Physician Assistant | 1015 Kelley Dr, Suite 200, Paris, TN 38242-5819 | 2005-07-07 |
| 1457843567 | Charles I Okafor | Physician Assistant | 301 Tyson Ave, Paris, TN 38242-4544 | 2018-06-04 |
| 1386004570 | Katherine Ann Chadwick | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2016-03-01 |
| 1265717193 | Karen Elizabeth Thompson | Physician Assistant | 193 Jim Adams Dr, Paris, TN 38242-4965 | 2011-10-11 |
| 1346353372 | Lamar Emergency Group Pa | Physician Assistant | 820 Clarksville St, Paris, TX 75460-6027 | 2006-08-16 |
| 1740288349 | Kristopher Eugene Gulish | Physician Assistant | 1015 Kelley Dr, Suite 200, Paris, TN 38242-5819 | 2005-07-08 |
| Find all providers in PARIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.