ILANA ICKOW (NPI# 1598329492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598329492 |
| Entity Type | Individual |
| Full Name | ILANA ICKOW |
| Credential | DMD, MS |
| Practice Address |
4401 Penn Ave. Faculty Pavilion #7108 Pittsburgh PA 15224-1522 |
| Mailing Address |
4401 Penn Ave. Faculty Pavilion #7108 Pittsburgh PA 15224-1852 |
| Practice Telephone | 7327578148 |
| Mailing Telephone | 7327578148 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16769 | MD | Dental Providers |
| Street Address |
4401 PENN AVE. FACULTY PAVILION #7108 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477654044 | Lee Antoinette Darville | Pediatrics | 4401 Penn Ave., Division of Infectious Diseases, Pittsburgh, PA 15224-1334 | 2006-09-26 |
| 1275190357 | Jacob Wes Ulm | Student in an Organized Health Care Education/Training Program | 4401 Penn Ave., Faculty Pavilion Building, Suite 1200, Pittsburgh, PA 15224 | 2019-05-23 |
| 1831551803 | Colleen Mathews | Pediatrics | 4401 Penn Ave., Pittsburgh, PA 15224-1821 | 2016-03-28 |
| 1225422389 | Rachel Anne Stearns | General Acute Care Hospital | 4401 Penn Ave., Upmc Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2015-03-26 |
| 1992048490 | Yousef El-gohary | Specialist | 4401 Penn Ave., One Children Hospital Drive, Pittsburgh, PA 15224 | 2013-04-03 |
| 1447547492 | Kathryn Tinsley Anderson | Surgery | 4401 Penn Ave., Suite 700, Pittsburgh, PA 15224 | 2011-06-28 |
| 1437316247 | Jacqueline Gale Weinberg | Pediatrics | 4401 Penn Ave., 5th Floor Faculty Pavilion, Pittsburgh, PA 15224-1334 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1013578913 | Babb Orthodontics, PC | Dentist | 528 Washington Rd # 2, Pittsburgh, PA 15228-2817 | 2019-06-23 |
| 1972090348 | Ksg Orthodontics Inc | Dentist | 1720 Washington Rd Ste 203, Pittsburgh, PA 15241-1208 | 2018-04-20 |
| 1033560800 | Edward Mcfarland IIi | Dentist | 1380 Candlewood Dr, Pittsburgh, PA 15241-2906 | 2016-06-23 |
| 1013312842 | Michael Choy | Dentist | 3501 Terrace St Salk 2189, Pittsburgh, PA 15213-2523 | 2014-10-22 |
| 1205151800 | Joseph Matthew Stacy. Jr. Jr. | Dentist | 4607 Liberty Avenue, Pittsburgh, PA 15224 | 2010-04-07 |
| 1164638672 | Sean Andrew Sherman | Dentist | 5873 Forbes Ave, Pittsburgh, PA 15217-1601 | 2007-05-14 |
| 1548399702 | James Edward Sweeney | Dentist | 6 Wexford Ln, Pittsburgh, PA 15235-4741 | 2007-03-05 |
| 1114055282 | Richard Thomas Conlin | Dentist | 394 Rodi Road, Pittsburgh, PA 15235 | 2007-03-01 |
| 1578646758 | Bradley D Smith | Dentist | 1376 Freeport Rd, Suite 1b, Pittsburgh, PA 15238-3110 | 2006-10-23 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
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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.