DR. TALIB Y ALI (NPI# 1801900808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801900808 |
| Entity Type | Individual |
| Full Name | DR. TALIB Y ALI |
| Credential | M.D. |
| Practice Address |
15th Medical Group Jb Pearl Harbor-hickam HI 96853-5399 |
| Practice Telephone | 8084486300 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 36101168 | IL | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
36101168 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS STATE LICENSE | 36101168 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114157229 | Talib S Ali | Dentist | 251 W Lee Hwy, Ste 197, Warrenton, VA 20186-2093 | 2009-07-23 |
| Street Address |
15TH MEDICAL GROUP |
| City | JB PEARL HARBOR-HICKAM |
| State | HI |
| Zip Code | 96853-5399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467884759 | Edward Joseph Tucholski Jr. | Dentist | 15 Mdg, 755 Scott Circle, Jbphh, HI 96853 | 2013-08-08 |
| 1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
| 1205180783 | John-michael Fowler | Registered Nurse | 755 Scott Circle, Jbphh, HI 96853 | 2012-11-05 |
| 1811250442 | April A Bronowski | Physical Therapist | 755 Scott Circle, 15 Mdg, Joint Base Pearl Harbor Hickam, HI 96853 | 2012-06-19 |
| 1245557438 | Elaine Mae Davis | Dietitian, Registered | 755 Scott Cir, Jbphh, HI 96853 | 2010-04-27 |
| 1851492839 | Matthew G Hoyt | Family Medicine | 755 Scott Cir, Jbphh, HI 96853 | 2006-09-25 |
| 1609812163 | Joyce Ann Raszewski | Nurse Practitioner | 755 Scott Circle, Jbphh/hickam, HI 96853 | 2006-06-22 |
| 1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
| 1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
| 1366427395 | Lisa Katherine Rivera | Pathology | 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 | 2005-12-13 |
| Find all providers in zip 96853 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487709341 | Darwin Chan | Preventive Medicine | 545 Ohohia St, Honolulu, HI 96819-1935 | 2007-01-23 |
| 1487710695 | Richard Orland Banner | Preventive Medicine | 1357 Kapiolani Blvd, Suite 1250, Honolulu, HI 96814-4549 | 2006-12-29 |
| 1053404624 | John Sterling Endicott | Preventive Medicine | 438 Uluniu St, Kailua, HI 96734-2517 | 2006-10-02 |
| 1497725253 | John Baleix | Preventive Medicine | Naval Health Clinic Hawaii, 480 Central Ave, Bldg 1750, Pearl Harbor, HI 96860-4908 | 2006-01-25 |
| 1336265123 | Timothy Tsuchidana | Preventive Medicine | 545 Ohohia St, Honolulu, HI 96819-1935 | 2007-03-22 |
| 1801912381 | Ronald H Kienitz | Preventive Medicine | 545 Ohohia St, Honolulu, HI 96819-1935 | 2007-03-22 |
| 1003997214 | Frank Izuta | Preventive Medicine | 226 N Kuakini St, Honolulu, HI 96817-2421 | 2006-10-17 |
| City | JB PEARL HARBOR-HICKAM |
| Zip Code | 96853 |
Please comment or provide details below to improve the information on DR. TALIB Y ALI.
| 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.