DR. RICHARD ALEXSANDER ILKA (NPI# 1477601847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477601847 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ALEXSANDER ILKA |
| Credential | M.D. |
| Practice Address |
1000 E Paris Ave Se 218 Grand Rapids MI 49546-3691 |
| Mailing Address |
1410 Shadyview Dr Se Grand Rapids MI 49546-9729 |
| Practice Telephone | 6162852728 |
| Practice Fax Number | 6162853234 |
| Mailing Telephone | 6166829901 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
4301034009 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4138638 | 05 |
| Street Address |
1000 E PARIS AVE SE 218 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991581 | Peter Marks | Obstetrics & Gynecology | 1000 E Paris Ave Se, Ste 160, Grand Rapids, MI 49546-8313 | 2005-06-09 |
| 1487101200 | R Sackeyfio Plastic Surgery, PC | Plastic Surgery | 1000 E Paris Ave Se, Suite 221, Grand Rapids, MI 49546-3691 | 2016-09-09 |
| 1558719807 | Kathryn Marie Thelen | Physician Assistant | 1000 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-3691 | 2016-05-27 |
| 1487063392 | Forefront Dermatology, S.c. | Dermatology | 1000 E Paris Ave Se, Suite 214, Grand Rapids, MI 49546 | 2014-08-05 |
| 1194148247 | Eye Center of Grand Rapids, Plc | Ophthalmology | 1000 E Paris Ave Se, Suite 218, Grand Rapids, MI 49546-3691 | 2014-01-27 |
| 1003161472 | Navneet Singh Mander | Surgery | 1000 E Paris Ave Se, Suite 230, Grand Rapids, MI 49546-3691 | 2012-07-20 |
| 1922363589 | Lyndsay Leigh Tomkins | Optometrist | 1000 E Paris Ave Se, Suite 130, Grand Rapids, MI 49546-3691 | 2012-07-10 |
| 1417212507 | Hulst Jepsen Physical Therapy | Physical Therapist | 1000 E Paris Ave Se, Suite 160, Grand Rapids, MI 49546-3691 | 2012-07-05 |
| 1477815454 | Nina Ovnovic-farook | Physician Assistant | 1000 E Paris Ave Se, Suite 246, Grand Rapids, MI 49546-3691 | 2012-06-14 |
| 1588942569 | Troy Leonard Fox | Optometrist | 1000 E Paris Ave Se, Ste 130, Grand Rapids, MI 49546-3691 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766639 | Corporate Occupational Health PC | Preventive Medicine | 3501 Lake Eastbrook Blvd Se Ste 144, Grand Rapids, MI 49546-5939 | 2020-10-02 |
| 1609129303 | Healthstat- Jedco | Preventive Medicine | 1615 Broadway Ave Nw, Grand Rapids, MI 49504-2026 | 2012-10-18 |
| 1205974052 | Bradley Neal Friedland | Preventive Medicine | 2428 Lake Dr Se, Grand Rapids, MI 49506-3162 | 2007-02-02 |
| 1770522401 | Robert John Kantor | Preventive Medicine | 1620 44th St Se, Grand Rapids, MI 49508-5002 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194375 | Healthstat Inc Huhtamaki-michigan | Preventive Medicine | 5700 W Shaffer Rd, Coleman, MI 48618-9706 | 2020-08-17 |
| 1487265088 | Healthstat Inc National Gypsum-national City | Preventive Medicine | 2375 S National City Rd, National City, MI 48748-9623 | 2020-08-17 |
| 1619494762 | Healthstat Onsite Clinic Keihin Capac | Preventive Medicine | 14898 Koehn Rd, Mussey, MI 48014-4310 | 2017-08-29 |
| 1174944953 | Healthstat On-site Clinic/unified Michigan | Preventive Medicine | 520 S. Coldwater Rd., Weidman, MI 48893 | 2013-12-23 |
| 1598018152 | Healthstat- Carson City Hospital | Preventive Medicine | 46 Elm St., Carson City, MI 48811 | 2012-10-19 |
| 1083905541 | Rosalind Marie Cohen | Preventive Medicine | 1106 E Cook Rd, Grand Blanc, MI 48439-8368 | 2011-05-02 |
| 1629307251 | Michigan State University | Preventive Medicine | 346 Olin Health Ctr, East Circle Drive, East Lansing, MI 48824-1037 | 2009-12-10 |
| 1649421108 | Reynolds B Brissenden IIi | Preventive Medicine | 409 Timberlake Dr W, Holland, MI 49424-5338 | 2008-10-02 |
| 1992903371 | Gary Richard Kerstein | Preventive Medicine | 1800 Hickory Valley Rd, Milford, MI 48380-4276 | 2007-07-06 |
| 1396949509 | Alicia E Alimboyoguen | Preventive Medicine | 1300 N Dort Hwy, Mc 485-202-100, Flint, MI 48556-0001 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. RICHARD ALEXSANDER ILKA.
| 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.