DR. PETAR MIHAJLO ILIEVSKI (NPI# 1093788465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093788465 |
| Entity Type | Individual |
| Full Name | DR. PETAR MIHAJLO ILIEVSKI |
| Credential | MD |
| Practice Address |
612 N 13th St Artesia NM 88210-1112 |
| Mailing Address |
Po Box 629 Artesia NM 88211-0629 |
| Practice Telephone | 5757488311 |
| Practice Fax Number | 5757366352 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD2011-0017 | NM | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 29489 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | JOHN DEER | IA0132 | 01 |
| IA | BLUE CROSS /BLUE SHIELD | 37336 | 01 |
| IA | 0443457 | 05 |
| Street Address |
612 N 13TH ST |
| City | ARTESIA |
| State | NM |
| Zip Code | 88210-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873900 | Lowells Pharmacy LLC | Pharmacy | 612 N 13th St, Ste A, Artesia, NM 88210-1112 | 2005-06-30 |
| 1780061481 | Bianca Giselle Ortega | Physician Assistant | 612 N 13th St, Suite D, Artesia, NM 88210-1112 | 2015-05-01 |
| 1033482336 | Katie M Porter | Specialist/Technologist | 612 N 13th St, Suite H, Artesia, NM 88210-1112 | 2012-02-16 |
| 1437463981 | Asana Integrated Medical Group | Psychiatry & Neurology | 612 N 13th St, Suite I, Artesia, NM 88210-1112 | 2010-07-27 |
| 1083737076 | Lowell Kirk Irby | Pharmacist | 612 N 13th St, Suite A, Artesia, NM 88210-1167 | 2007-04-06 |
| 1114076825 | Artesia General Hospital | Nurse Practitioner | 612 N 13th St, Suite B, Artesia, NM 88210-1112 | 2007-01-10 |
| 1225065527 | Southwestern Regional Medical Center | Family Medicine | 612 N 13th St, Artesia, NM 88210-1167 | 2006-06-26 |
| 1841258365 | Shahriar Anoushfar | Surgery | 612 N 13th St, Artesia, NM 88210-1112 | 2006-05-03 |
| 1679545172 | Joseph Marino | Podiatrist | 612 N 13th St, Suite F, Artesia, NM 88210-1112 | 2006-02-07 |
| 1518958503 | Joe P Salgado | Family Medicine | 612 N 13th St, Suite E, Artesia, NM 88210-1167 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452012 | Blue Star Therapy, LLC | Occupational Therapist | 611 W. Mahone Dr., Artesia, NM 88210 | 2019-11-25 |
| 1245777382 | Alise Mullen | Registered Nurse | 1806 W. Centre Ave, Artesia, NM 88210 | 2017-01-27 |
| 1376890285 | Micki J Miller | Massage Therapist | 106 S. 7th. St., Artesia, NM 88210 | 2012-08-09 |
| 1396971222 | Grammy's House Artesia Domestic Violence Shelter Inc. | Social Worker | 811 W Texas, Artesia, NM 88210 | 2009-06-05 |
| 1013143338 | Yucca Health Care Centers | Clinic/Center | 606 North 13th Street, Artesia, NM 88210 | 2009-06-01 |
| 1205077310 | Kay L. Younggren Dds | Dentist | 2520 W. Hermosa, Artesia, NM 88210 | 2009-03-19 |
| 1922264902 | Sherry Rayne Moya | Nurse Practitioner | 702 13th Street, Artesia, NM 88210 | 2008-07-30 |
| 1679778054 | Susan Emelie Trompeter | Internal Medicine | 702 N 13th St Ste 100, Artesia, NM 88210 | 2007-06-18 |
| 1952518292 | D. Ann Sanders | Registered Nurse | 504 Gage, Artesia, NM 88210 | 2007-05-17 |
| 1366597908 | Pecos Valley Regional Education Coop 8 | Community/Behavioral Health | 2218 W Grand Ave, Artesia, NM 88210 | 2007-01-24 |
| Find all providers in zip 88210 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801162003 | Margaret N Le | Urology | 4801 Beckner Rd Ste 1700, Santa Fe, NM 87507-3641 | 2012-04-01 |
| 1982925673 | Christopher Robert Vesely Hoover | Urology | 1900 Red Rock Dr, Gallup, NM 87301-5682 | 2010-06-16 |
| 1174849210 | Jessica Megan Chen Ming | Urology | 1004 Columbia Dr Ne, Albuquerque, NM 87106-2627 | 2010-04-14 |
| 1346474913 | Arthur Anthony Caire V | Urology | 350 W Country Club Rd Ste 205, Roswell, NM 88201-5221 | 2009-05-11 |
| 1306009840 | Robert M Zone | Urology | 14 General Sage Dr, Santa Fe, NM 87505-6337 | 2008-07-03 |
| 1174693782 | Robert W Frasier IIi | Urology | 612 N Paseo De Onate Ste D, Espanola, NM 87532-2963 | 2006-11-09 |
| 1023111374 | Sergio Jose Rybka | Urology | 1013 N Thomas St, Carlsbad, NM 88220-4575 | 2006-09-05 |
| 1932202280 | Sergio J Rybka Md PC | Urology | 1031 N Thomas St, Carlsbad, NM 88220 | 2006-09-05 |
| 1568493773 | Richard Saul Diaz Tushman | Urology | 2402 W Pierce St Ste 6f, Carlsbad, NM 88220-3566 | 2006-07-05 |
| 1598743056 | Steven Arrowsmith | Urology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-05 |
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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.