DR. TIMOTHY M ILIFF (NPI# 1770564395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770564395 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY M ILIFF |
| Credential | MD |
| Practice Address |
602 Sandpiper Ln Daphne AL 36526-4615 |
| Mailing Address |
Po Box 9158 Mobile AL 36691-0158 |
| Practice Telephone | 2514600326 |
| Practice Fax Number | 2514602846 |
| Mailing Telephone | 2514600326 |
| Mailing Fax Number | 2514602846 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10759 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS OF AL | 05158632 | 01 |
| AL | RR MEDICARE | 0080180145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164808515 | Timothy Iliff Jr. | Acupuncturist | 1171 Market St Ste 112, Fort Mill, SC 29708-6502 | 2015-08-08 |
| 1366603748 | Timothy Marshall Iliff | Internal Medicine | 6701 Airport Blvd Ste B127, Mobile, AL 36608 | 2008-06-19 |
| Street Address |
602 SANDPIPER LN |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740445865 | Gulf Bay Diagnostics LLC | Specialist | 25922 Tealwood Dr, Daphne, AL 36526-6429 | 2008-07-29 |
| 1669677712 | Julie Grant | Specialist | 790a Daphne Ave, Daphne, AL 36526-4657 | 2007-06-19 |
| 1669527750 | Robert Christopher Bondurant | Specialist | 27587 Us Highway 98, Daphne, AL 36526-4839 | 2007-01-25 |
| 1467475624 | Daniel A Bishop | Specialist | 1203 Us Hwy 98, Suite 1-c, Daphne, AL 36526 | 2006-07-26 |
| 1831153303 | John Denton Sherrod | Specialist | 27625 Us Highway 98, Building B, Daphne, AL 36526-4816 | 2006-04-13 |
| 1871557348 | Alan Roy Stanford | Specialist | 8573 County Road 64, Daphne, AL 36526 | 2006-04-13 |
| 1235111956 | Sapp Family Medical, P.C. | Specialist | 28119 N Main St, Suite B, Daphne, AL 36526-7037 | 2005-11-17 |
| 1245211838 | Larry Arcement | Specialist | 310 Cameron Ct, Daphne, AL 36526-4628 | 2005-11-10 |
| 1710973490 | Paul B Canale | Specialist | 1505 Daphne Ave, Daphne, AL 36526-4298 | 2005-09-27 |
| 1700880473 | Ruth N Aubrey | Specialist | 6475 Van Buren St, Ste 102, Daphne, AL 36526-7571 | 2005-06-09 |
| Find all providers in DAPHNE | ||||
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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.