DR. KARL ARMISTEAD ILLIG (NPI# 1023053303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023053303 |
Entity Type | Individual |
Full Name | DR. KARL ARMISTEAD ILLIG |
Credential | M.D. |
Practice Address |
2 Tampa General Cir Usf Vascular Surgery Ste.300 Tampa FL 33606-3603 |
Mailing Address |
Po Box 917770 Usf Vascular Surgery Orlando FL 32891-7770 |
Practice Telephone | 8132590921 |
Practice Fax Number | 8132590606 |
Mailing Telephone | 8132590921 |
Mailing Fax Number | 8132590606 |
Enumeration Date | 2006-06-19 |
Last Update Date | 2018-05-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME111162 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 004120700 | 05 | |
FL | BLUE CROSS BLUE SHIELD | 14H55 | 01 |
Street Address |
2 TAMPA GENERAL CIR USF VASCULAR SURGERY STE.300 |
City | TAMPA |
State | FL |
Zip Code | 33606-3603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700889516 | Anthony O Odibo | Obstetrics & Gynecology | 2 Tampa General Cir, Stc 4th Floor, Tampa, FL 33606-3603 | 2005-05-24 |
1215545819 | Corinne Ann Rheinlander | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-07-20 |
1558993659 | Ali Mohammad Sobh | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2020-02-06 |
1689210932 | Andrew William Armstrong | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-11-21 |
1366008831 | Reka Dora Muller | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-05-10 |
1578026845 | Julie-ann Carmichael | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-04-12 |
1891253894 | Susana Lizette Soto-rodriguez | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-08 |
1639637259 | Amy Kelley Reinke | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2019-03-04 |
1144703638 | Kara Morgan | Nurse Practitioner | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-09-11 |
1346729761 | Anna Laura Strang | Genetic Counselor, MS | 2 Tampa General Cir, Tampa, FL 33606-3603 | 2018-08-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1528484516 | Rolando Sanchez | Surgery | 4039 W Kennedy Blvd, Tampa, FL 33609-2751 | 2014-03-14 |
1447542840 | James D Brooks | Surgery | 13000 Bruce B Downs Blvd Rm 7a-708b, Tampa, FL 33612-4745 | 2011-05-04 |
1558507582 | Choice Health Care, Inc. | Surgery | 1881 W Kennedy Blvd, Suite A & B, Tampa, FL 33606-1611 | 2008-12-22 |
1942238837 | George K James | Surgery | 4513 N Armenia Ave, Tampa, FL 33603-2703 | 2006-06-29 |
1932174349 | Rozales Antonio Swanson | Surgery | 3000 E Fletcher Ave Ste 320, Tampa, FL 33613-4645 | 2006-02-20 |
1790771970 | Thomas M. Kerr Md Pa | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2005-09-23 |
1982141222 | Advanced Vein Care, Inc. | Surgery | 1921 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6509 | 2017-01-25 |
1528492287 | Greater Tampa Bay Physician Specialists, LLC | Surgery | 602 S Audubon Ave, Suite A, Tampa, FL 33609-4217 | 2013-08-29 |
1104168871 | Erin Kelly Green Baldwin | Surgery | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2013-03-20 |
1225359904 | Michael Charles Goldbach | Surgery | 2809 W Waters Ave, Tampa, FL 33614-1852 | 2010-06-17 |
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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.