ELPIDIONESTOR TABUTOL ILORETA (NPI# 1447226816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447226816 |
| Entity Type | Individual |
| Full Name | ELPIDIONESTOR TABUTOL ILORETA |
| Credential | MD |
| Practice Address |
908 N Howard St Ste 108 Grand Island NE 68803 |
| Practice Telephone | 3083812224 |
| Practice Fax Number | 3083810793 |
| Mailing Telephone | 3083812224 |
| Mailing Fax Number | 3083810793 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20908 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
908 N HOWARD ST STE 108 |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578782710 | Thomas Patrick Sheehan | Family Medicine | 2643 W River Rd, Grand Island, NY 14072-2054 | 2007-04-25 |
| 1477624021 | James Lloyd Omel | Family Medicine | 3115 Briarwood Blvd, Grand Island, NE 68801-7224 | 2006-11-13 |
| 1568495455 | Shu-ming Wang | Family Medicine | 908 N Howard Ave Ste 109, Grand Island, NE 68803-3529 | 2006-07-07 |
| 1619921194 | Sandra Yale | Family Medicine | 2608 Grand Island Blvd, Grand Island, NY 14072 | 2006-05-20 |
| 1194711341 | Heather J Hockman | Family Medicine | 3016 W Faidley Ave, Grand Island, NE 68803-4109 | 2005-09-23 |
| 1932195161 | Mia J. Hyde | Family Medicine | 3016 W. Faidley Ave., Grand Island, NE 68803 | 2005-09-22 |
| 1861492803 | Douglas J Herbek | Family Medicine | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2005-07-29 |
| 1205329596 | Mccann Medical Clinic | Family Medicine | 2820 E Us Highway 34, Grand Island, NE 68801-9734 | 2018-06-11 |
| 1568968543 | Family Medicine and Urgent Care of Grand Island LLC | Family Medicine | 423 W 4th St, Grand Island, NE 68801-4503 | 2018-03-30 |
| 1073033718 | Alberto Solache Jr. | Family Medicine | 2444 W Faidley Ave, Grand Island, NE 68803-4327 | 2017-06-23 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on ELPIDIONESTOR TABUTOL ILORETA.
| 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.