Iyla Tikhonov, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

06-228 Issued in VA

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3307

Phone

(703) 776-4094

NPI assigned

Jul 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1053541607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3378 WOODBURN RD APT T3",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036817",
            "telephone_number": "703-470-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "703-776-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIKHONOV",
        "first_name": "IYLA",
        "name_prefix": "Dr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "06-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Thura, M.D.
• Frank H Tichauer, D.P.M.
• Estelle Tientcheu, CRNA
• James J Tier, MD
• Patricia Tierney, RN
• Anne M Tilghman, CNM
• Carlyn Marie Tillage, OTD, OTR/L
• Laura Wheat Tilman, D.O.
• Rebecca Timbo, NP
• Sean Timms

• Surgical Physician Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.