MOHAMMED ILYAS (NPI# 1508956160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508956160 |
Entity Type | Individual |
Full Name | MOHAMMED ILYAS |
Credential | MD |
Practice Address |
1 Childresn Way # 653 Little Rock AR 72202-3510 |
Mailing Address |
1 Childrens Way #653 Little Rock AR 72202-3500 |
Practice Telephone | 5013641100 |
Mailing Telephone | 5013641100 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2016-09-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
E-0978 | AR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 131721001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184952954 | Mohammed Ilyas | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-12-06 |
Street Address |
1 CHILDRESN WAY # 653 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72202-3510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
Find all providers in zip 72202 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114017779 | Richard Thomas Blaszak | Pediatrics | 1 Childrens Way # 512, Little Rock, AR 72202-3500 | 2006-10-13 |
1720423387 | Saritha Ranabothu | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2013-05-08 |
1346536893 | Brendan Crawford | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2011-06-23 |
1023108685 | Eileen Ellis | Pediatrics | 800 Marshall St # 653, Little Rock, AR 72202-3510 | 2006-10-13 |
1932299591 | Thomas Wells | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-10-13 |
City | LITTLE ROCK |
Zip Code | 72202 |
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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.