ANNA ILIASOVA (NPI# 1689226557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689226557 |
| Entity Type | Individual |
| Full Name | ANNA ILIASOVA |
| Practice Address |
400 Palmetto Health Pkwy Columbia SC 29212-1760 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8039077000 |
| Mailing Telephone | 8032967320 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22826 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 PALMETTO HEALTH PKWY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679586028 | Jessica A Cannon | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2006-08-15 |
| 1063022440 | Aubrey Marie Kough | Dietitian, Registered | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2020-07-31 |
| 1609437417 | Summer Noel | Nurse Practitioner | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2019-06-23 |
| 1841785938 | Laura Miller | Specialist/Technologist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-06-29 |
| 1073001715 | Palmetto Health - University of South Carolina Medical Group | Allergy & Immunology | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2018-04-27 |
| 1316459027 | Matthew Ryan Dunkin | Pharmacist | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2017-11-03 |
| 1053791772 | Neda Azizzadeh | Internal Medicine | 400 Palmetto Health Pkwy, Columbia, SC 29212 | 2015-06-08 |
| 1538580584 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-18 |
| 1407277551 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-16 |
| 1871924035 | Prisma Health-midlands | General Acute Care Hospital | 400 Palmetto Health Pkwy, Columbia, SC 29212-1760 | 2013-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
| 1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
| 1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
| 1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
| 1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
| 1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
| 1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
| 1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
| Find all providers in COLUMBIA | ||||
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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.