DR. MICHAEL ILLINGWORTH (NPI# 1932251089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932251089 |
Entity Type | Individual |
Full Name | DR. MICHAEL ILLINGWORTH |
Credential | M.D. |
Practice Address |
1945 N Fine Ave Ste 100 Fresno CA 93727-1528 |
Practice Telephone | 5594575650 |
Practice Fax Number | 5594575695 |
Mailing Telephone | 5594575650 |
Mailing Fax Number | 5594575695 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | G68327 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
681 Medical Center Dr W, #101, Clovis, CA 93611 | 5593239300 | 5592998581 |
7202 N Millbrook Ave Ste 202, Fresno, CA 937203341 | 5594576950 | 5594576997 |
Street Address |
1945 N FINE AVE STE 100 |
City | FRESNO |
State | CA |
Zip Code | 93727-1528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013490606 | Jessica Quoc Tran | Nurse Practitioner | 1945 N Fine Ave Ste 100, Fresno, CA 93727-1528 | 2018-09-11 |
1457834137 | Ivan Alejandro Munoz-almaraz | Nurse Practitioner | 1945 N Fine Ave Ste 100, Fresno, CA 93727-1528 | 2018-09-10 |
1679916019 | Ferishta Gousse | Family Medicine | 1945 N Fine Ave Ste 100, Fresno, CA 93727-1528 | 2013-04-16 |
1760682355 | Diane Marie O'donnell | Social Worker | 1945 N Fine Ave Ste 100, Fresno, CA 93727-1528 | 2007-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427524354 | Travis L Minor | Driver | 4573 Kings Canyon Rd, Freso, CA 93727 | 2018-10-18 |
1780178921 | Amanda Hernandez | Behavior Technician | 6358 E Mono St, Fresno, CA 93727 | 2018-06-20 |
1225533169 | Lindsay Fisher | Marriage & Family Therapist | 4928 E Clinton Way Ste 108, Fresno, CA 93727 | 2018-03-23 |
1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
1851781371 | Sheri Taylor | Social Worker | 2010 N Fine Ave # 105, Fresno, CA 93727 | 2015-02-04 |
1770917486 | Elouise Jones-green | Counselor | 4491 E. Mckinley Ave #112, Fresno, CA 93727 | 2013-08-29 |
1700227022 | Chee Vang | Counselor | 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 | 2013-07-15 |
1578839791 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5995 E Kings Canyon Rd, Fresno, CA 93727 | 2012-04-02 |
1932411378 | Leticia Ball | Marriage & Family Therapist | 4944 E. Clinton Way, Fresno, CA 93727 | 2010-07-13 |
1639308158 | Juanita Sermeno | Counselor | 4944 E. Clinton, Suite 101, Fresno, CA 93727 | 2009-07-06 |
Find all providers in zip 93727 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154873230 | Valley Women's Healthcare Medical Group, Inc | Obstetrics & Gynecology | 255 E River Park Cir Ste 240, Fresno, CA 93720-1574 | 2016-10-25 |
1598143901 | Roderick O Harris Md Inc | Obstetrics & Gynecology | 7081 N Marks Ave # 104-331, Fresno, CA 93711-0232 | 2015-05-18 |
1649542549 | William L. Griffin, Jr. M.d., Inc | Obstetrics & Gynecology | 6181 N. Thesta, Suite 101, Fresno, CA 93710-8604 | 2012-02-08 |
1164727368 | Mariah C Grace | Obstetrics & Gynecology | 150 North Fresno Stree, Fresno, CA 93701 | 2011-01-19 |
1700112943 | Teresa Elena Munoz | Obstetrics & Gynecology | 155 N Fresno St Ste 233, Fresno, CA 93701-2302 | 2009-10-22 |
1811199672 | Vasanth M Vishwanath M.d. Inc | Obstetrics & Gynecology | 7075 N Maple Ave Ste 102, Fresno, CA 93720-8014 | 2007-06-04 |
1326254624 | Paul A White | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2007-05-15 |
1043345853 | Kim I Morris | Obstetrics & Gynecology | 2210 E Illinois Ave Ste 505, Fresno, CA 93701-2184 | 2007-02-22 |
1255489530 | Michele Greenhouse Md | Obstetrics & Gynecology | 9625 N Matus Ave, Fresno, CA 93720-4630 | 2007-01-05 |
1851459556 | Charles M Curry | Obstetrics & Gynecology | 5305 N Fresno St, 105a, Fresno, CA 93710-6845 | 2006-12-05 |
Find all providers in FRESNO |
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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.