DR. PATRICIO A ILABACA


Address: 6027 Walnut Grove Rd, Suite 114, Memphis, TN 38120-2145
Phone: 9016836161

DR. PATRICIO A ILABACA (NPI# 1255381406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255381406
Entity Type Individual
Full Name DR. PATRICIO A ILABACA
Credential MD
Practice Address 6027 Walnut Grove Rd
Suite 114
Memphis
TN 38120-2145
Mailing Address 6027 Walnut Grove
Suite 203
Memphis
TN 38120
Practice Telephone 9016836161
Practice Fax Number 9016837998
Mailing Telephone 9016836161
Mailing Fax Number 9016833915
Enumeration Date 2006-05-10
Last Update Date 2010-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
9582 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 09015252 05

Office Location

Street Address 6027 WALNUT GROVE RD
SUITE 114
City MEMPHIS
State TN
Zip Code 38120-2145

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417942988 Monica Armstead Pasley Obstetrics & Gynecology 6027 Walnut Grove Rd, Suite 216, Memphis, TN 38120-2145 2005-09-12
1346896123 Anna Lee Marcy Nurse Practitioner 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2019-08-16
1962940866 Stephanie Lyon Nurse Practitioner 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2017-02-10
1497206908 Devinn N Wolfe Nurse Practitioner 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2016-10-19
1659829521 Jennifer King Nurse Practitioner 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2016-09-20
1598180812 Helen Renee Masters Nurse Practitioner 6027 Walnut Grove Rd, Suite 206, Memphis, TN 38120-2145 2014-02-24
1225374358 Ann Christopher Trotter Nurse Practitioner 6027 Walnut Grove Rd, Suite 402, Memphis, TN 38120-2145 2012-12-18
1871866830 Clesheree Stepter Nurse Practitioner 6027 Walnut Grove Rd, Suite 206, Memphis, TN 38120-2145 2012-02-21
1508156712 Tiffany Michelle Herbert Specialist/Technologist, Other 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2011-04-10
1114172376 Hiren Sampatraj Pokharna Internal Medicine 6027 Walnut Grove Rd, Memphis, TN 38120-2145 2008-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093285637 Cobblestone Midwifery Midwife 5617 Ashley Square South, Memphis, TN 38120 2018-11-27
1649768870 River City Neuropsychology, Pllc Psychologist 1661 International Dr., Suite 400, Memphis, TN 38120 2018-04-24
1841676152 Jody Lavaun Clements Dentist 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2015-08-10
1578957122 Christina Lumpkin Nurse Practitioner 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 2015-03-21
1316352099 Daniel Poor Emergency Medicine Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 2014-06-21
1245643246 Kysha Saleem Nurse Practitioner 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 2014-06-06
1376962613 John Christopher Swearingen Dentist 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 2014-04-15
1275884645 Rebecca Leigh Goedecke Nurse Practitioner 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 2012-09-26
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1922302785 Daniel L Hester Nurse Anesthetist, Certified Registered 1755 Kirby Parkway Suite 330, Memphis, TN 38120 2011-01-07
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215548375 Center for Vein Restoration Tn Pllc Surgery 6005 Park Ave Ste 225b, Memphis, TN 38119-5207 2020-08-12
1679969729 Jeffrey Thomas Johnston Surgery 910 Madison Ave Fl 2, Memphis, TN 38103-3403 2015-04-15
1528289808 Shaun Michael Stickley Surgery 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 2007-05-02
1992813158 Larry Dale Burke Surgery 6025 Walnut Grove Rd Ste 311, Memphis, TN 38120-2123 2006-08-28
1073538823 Jonathan J Ellichman Surgery 6401 Poplar Ave Ste 410, Memphis, TN 38119-4808 2006-07-13
1306112487 Jorge Luis Weber Guzman Surgery 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2012-03-22
1881901163 James Eric Gardner, Md, PC Surgery 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 2010-09-08
1952555666 Prateek Kumar Gupta Surgery 1325 Eastmoreland Ave, Suite 310, Memphis, TN 38104-3519 2008-11-07
1770789349 Larry Burke, Md, PC Surgery 6025 Walnut Grove Rd, #311, Memphis, TN 38120-2131 2007-06-21
1801009089 James Eric Gardner Surgery 1750 Madison Ave, Suite 300, Memphis, TN 38104-6492 2007-05-07
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38120

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Dataset Information

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.

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