DR. TIMOTHY A KISLA (NPI# 1477557445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477557445 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY A KISLA |
| Credential | DO |
| Practice Address |
1870 Silver Cross Blvd Suite 110 New Lenox IL 60451-8639 |
| Practice Telephone | 8154852727 |
| Practice Fax Number | 8154853034 |
| Mailing Telephone | 8154852727 |
| Mailing Fax Number | 8154853034 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036097974 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036097974 | 05 | |
| IL | RAILROAD MEDICARE | P00061462 | 01 |
| Street Address |
1870 SILVER CROSS BLVD SUITE 110 |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-8639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320394 | Joshua Knitter | Physical Therapist | 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 | 2020-06-11 |
| 1194180919 | Dupage Medical Group, Ltd. | Prosthetic/Orthotic Supplier | 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 | 2015-12-21 |
| 1235533837 | Julie Rene Paul | Nurse Practitioner | 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 | 2014-10-10 |
| 1467860833 | Meridian App Medical Services, LLC | Clinic/Center | 1870 Silver Cross Blvd, Suite 240, New Lenox, IL 60451-8639 | 2014-07-29 |
| 1265774806 | Jessica E. Rodriguez | Physician Assistant | 1870 Silver Cross Blvd, Suite 200, New Lenox, IL 60451-8639 | 2013-03-21 |
| 1104122829 | Sherry Ann Burnam | Advanced Practice Midwife | 1870 Silver Cross Blvd, Suite 210, New Lenox, IL 60451-8639 | 2011-01-27 |
| 1568766103 | Hinsdale Orthopaedic Associates, Sc | Specialist | 1870 Silver Cross Blvd, New Lenox, IL 60451-8639 | 2010-12-22 |
| 1619205077 | Eligijus P Lelis Md & Associates, Sc | Durable Medical Equipment & Medical Supplies | 1870 Silver Cross Blvd, Ste 220, New Lenox, IL 60451-8646 | 2009-11-24 |
| 1871828780 | Maria Francis | Internal Medicine | 1870 Silver Cross Blvd, Suite 120, New Lenox, IL 60451-8639 | 2009-10-09 |
| 1831154947 | Advanced Eyecare Sc | Ophthalmology | 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 | 2006-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154947 | Advanced Eyecare Sc | Ophthalmology | 1870 Silver Cross Blvd, Suite 110, New Lenox, IL 60451-8639 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
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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.