Paul Richard Illyes, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

507123 Issued in TX

Practice address

700 Live Oak Dr
Anesthesia Dept.
Killeen, TX 76541-7272

Phone

(501) 827-4968

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesia and Pain Management Assoc., P.a.

  • Anesthesiology Physician
  • Searcy, AR
  • NPI 1689621245
  NPD (past)
• Baptist Memorial Hospital-Jonesboro Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353
  NPD (past)
• Freeman Neosho Hospital

  • Anesthesiology Physician
  • Neosho, MO
  • NPI 1164451746

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Missouri Valley Anesthesia, PC

  • Anesthesiology Physician
  • Washington, MO
  • NPI 1720040165
  NPD (past)
• Northeast Arkansas Health System LLC

  • Cardiovascular Specialist/Technologist
  • Jonesboro, AR
  • NPI 1750322087
  NPD (past)
• Ouachita Regional Anesthesia PLLC

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1982699153
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1659397057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LIVE OAK DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417272",
            "telephone_number": "501-827-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LIVE OAK DR",
            "address_2": "ANESTHESIA DEPT.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417272",
            "telephone_number": "501-827-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLYES",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0028011",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "507123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115061701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Richard Hyatt, DMD
• Kayla Hyman
• Princess Ibrahim
• Stephen Michael Igleheart, PHARMD
• Maureen Ikpeazu, PHARMACIST
• Inbesi Counseling & Life Care
• Carissa Lynn Incorvaia
• Donna Kay Ingram, PT
• Inner Strength LLC
• Inspired Adult Care Services PLLC.

• Certified Registered Nurse Anesthetist in Killeen, TX
• Providers in Killeen, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.