CHARLES A ILIYA MD PA (NPI# 1639446891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639446891 |
| Entity Type | Organization |
| Organization Name | CHARLES A ILIYA MD PA |
| Practice Address |
9330 Poppy Dr Suite 500 Dallas TX 75218-4612 |
| Practice Telephone | 2143212481 |
| Practice Fax Number | 2143241478 |
| Mailing Telephone | 2143212481 |
| Mailing Fax Number | 2143241478 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | DR. CHARLES A ILIYA (PRESIDENT) |
| Authorized Official Telephone | 2143212481 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G5202 | TX | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | G5202 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
9330 POPPY DR SUITE 500 |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990987 | Mark Allen Co | Internal Medicine | 9330 Poppy Dr, #503, Dallas, TX 75218-4621 | 2005-08-25 |
| 1033500475 | Rockwall Neurology, Pa | Psychiatry & Neurology | 9330 Poppy Dr, Suite 500b, Dallas, TX 75218-4621 | 2015-02-06 |
| 1750782199 | Lisa Carlock | Physical Therapist | 9330 Poppy Dr, Suite 100, Dallas, TX 75218-4621 | 2014-09-04 |
| 1053711564 | Keri Glover Walakovits | Physical Therapist | 9330 Poppy Dr, Suite 100, Dallas, TX 75218-4621 | 2014-09-03 |
| 1619399706 | Neurological Associates of North Texas | Neurological Surgery | 9330 Poppy Dr, 500b, Dallas, TX 75218-4621 | 2014-01-09 |
| 1922438506 | Joe Adrian Pedroza | Nurse Practitioner | 9330 Poppy Dr, Dallas, TX 75218-4621 | 2013-11-19 |
| 1871866087 | James S. Kohn, M.d., Pa | Clinic/Center | 9330 Poppy Dr, Suite 406, Dallas, TX 75218-4621 | 2012-02-17 |
| 1508074113 | White Rock Internal Medicine | Internal Medicine | 9330 Poppy Dr, Suite 403, Dallas, TX 75218-4621 | 2007-05-18 |
| 1952518326 | Kirk A Brackin | Occupational Therapist | 9330 Poppy Dr, Dallas, TX 75218-4621 | 2007-05-16 |
| 1598970311 | Joseph A. Meacham, M.d., P.a. | Specialist | 9330 Poppy Dr, Suite 506, Dallas, TX 75218-4621 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
| 1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
| 1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
| 1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
| 1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
| 1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
| 1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
| 1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
| 1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
| Find all providers in DALLAS | ||||
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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.