AKUA TIWAA AFRIYIE-GRAY (NPI# 1013915065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013915065 |
| Entity Type | Individual |
| Full Name | AKUA TIWAA AFRIYIE-GRAY |
| Other Name | AKUA TIWAA AFRIYIE |
| Credential | M.D. |
| Practice Address |
202 W. Jackson Carbondale IL 62901-1409 |
| Mailing Address |
109 California Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6184570465 |
| Practice Fax Number | 6184578022 |
| Mailing Telephone | 6189858221 |
| Mailing Fax Number | 6189856860 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-10-25 |
| NPI Deactivation Date | 03/31/2006 |
| NPI Reactivation Date | 2006-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036-111444 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | CF3444 | 01 |
| IL | HEALTHLINK | 689990 | 01 |
| IL | 036111444 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | I17140 | 01 |
| IL | HEALTH ALLIANCE | 098801 | 01 |
| Street Address |
202 W. JACKSON |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174974232 | Wayne Memorial Community Health Centers | Obstetrics & Gynecology | 44 N Scott St, Carbondale, PA 18407-2059 | 2016-06-29 |
| 1538341680 | New Horizons Obstetrics & Gynecology | Obstetrics & Gynecology | 305 W. Jackson, Ste 100, Carbondale, IL 62901 | 2007-11-30 |
| 1801861380 | Donald K Bishop | Obstetrics & Gynecology | 1390 Hope Dr, Suite B, Carbondale, IL 62901-5306 | 2006-02-20 |
| 1912908906 | Sherry L Jones | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901 | 2005-08-02 |
| 1992196752 | New Horizons Medical Associates, LLC | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2015-02-13 |
| 1013262666 | Jocelyn Alexandra Leon Peters | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901-3021 | 2012-07-19 |
| 1952406639 | Douglas L Gates | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1881799575 | Rebecca A. Hartman | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1073618765 | Frank M. Walker | Obstetrics & Gynecology | 305 W Jackson St, Suite 100, Carbondale, IL 62901-1474 | 2006-09-14 |
| 1457381774 | Shawnee Health Service and Development Corp | Obstetrics & Gynecology | 101 S Wall St, Carbondale, IL 62901-3021 | 2006-07-03 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on AKUA TIWAA AFRIYIE-GRAY.
| 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.