Organization Active NPI

Michael L Illingworth, MD Inc

  • Obstetrics & Gynecology Physician
  • Clovis, CA
National Provider Identifier
1023344991
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MICHAEL L ILLINGWORTH, MD INC
Practice address
681 Medical Center Dr W Ste 101
Clovis, CA 93611-6803
Phone
(559) 323-9300
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael L Illingworth, MDNPI 1932251089
Title
Owner
Phone
(559) 323-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

681 Medical Center Dr W Ste 101
Clovis, CA 93611-6803

Mailing address

681 Medical Center Dr W Ste 101
Clovis, CA 93611-6803
Phone (559) 323-9300

National Provider Directory

National Provider Directory

Locations

681 N Medical Center Dr W
Ste 101
Clovis, CA 93611
Phone (559) 299-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1023344991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 MEDICAL CENTER DR W STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116803",
            "telephone_number": "559-323-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MEDICAL CENTER DR W STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116803",
            "telephone_number": "559-323-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L ILLINGWORTH, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "ILLINGWORTH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-323-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.