DR. ALI KHALIFA (NPI# 1588930242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588930242 |
| Entity Type | Individual |
| Full Name | DR. ALI KHALIFA |
| Credential | M.D. |
| Practice Address |
800 E Dawson St # 2 Tyler TX 75701-2036 |
| Practice Telephone | 9035314500 |
| Mailing Telephone | (190) 353-1450 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Q8084 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE RAIL ROAD | P01878844 | 01 |
| TX | TRICARE | 75-2616977-042 | 01 |
| TX | MEDICARE | 587381ZGX7 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1709 Dryden Rd, Suite 1700, Ms:bcm120, Houston, TX 770302400 | 7137985117 |
| Street Address |
800 E DAWSON ST # 2 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799476 | Joshua D Toby | Anesthesiology | 1814 Roseland Blvd 200, Tyler, TX 75701-4262 | 2006-07-28 |
| 1558399592 | Trinity Clinic | Anesthesiology | 800 East Dawson St, Tyler, TN 75701 | 2006-06-29 |
| 1598756637 | Wilfred O. Prados IIi | Anesthesiology | 800 East Dawson, Tyler, TX 75701 | 2005-10-28 |
| 1356753370 | David Earle Smith | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2014-05-26 |
| 1396184891 | Uloma Oziri | Anesthesiology | 800 E Dawson St, Tyler, TX 75701 | 2013-06-18 |
| 1134566946 | Matthew Harry Lee Wilkerson | Anesthesiology | 800 E Dawson St, Tyler, TX 75701 | 2013-06-03 |
| 1316207400 | Joseph Kalathil Kurian | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2012-05-22 |
| 1164717633 | Brent Toland | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2011-06-13 |
| 1639469281 | Moises A Sidransky | Anesthesiology | 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701-1951 | 2011-04-17 |
| 1124282165 | Carrie Danae Tutt | Anesthesiology | 800 E Dawson St, Tyler, TX 75701-2036 | 2008-07-17 |
| Find all providers in TYLER | ||||
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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.