Active NPI
Mihaiela Ilves, CSFA, CST
- Surgical Technologist
- Bedford, TX
National Provider Identifier
1013350396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 122442
- Practice address
- 1600 Hospital Pkwy
Bedford, TX 76022-6913 - Phone
- (817) 848-4000
- NPI assigned
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 154012 | TX | |
| Surgical Technologist | 246ZS0410X | 122442 | TX | Primary |
Addresses
Primary practice location
1600 Hospital Pkwy
Bedford, TX 76022-6913
Mailing address
1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 848-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154012 | TX | MD | Surgical Assistant |
| 122442 | TX | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1013350396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HOSPITAL PKWY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226913",
"telephone_number": "817-848-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HOSPITAL PKWY",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226913",
"telephone_number": "817-848-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILVES",
"first_name": "MIHAIELA",
"name_prefix": "Mrs.",
"credential": "CSFA, CST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "154012",
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "122442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.