W. Jackson Iliff, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0008485 Issued in MD

Practice address

4 W Rolling Crossroads
Suite 7
Catonsville, MD 21228-6280

Phone

(410) 869-1990

Fax

(410) 869-1992

NPI assigned

Mar 28, 2006

Last updated

Oct 29, 2009By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• W Jackson Iliff M.D., LLC

  • Ophthalmology Physician
  • Catonsville, MD
  • NPI 1962739839
  Authorized official Same address or phone
• Franklin Square Hospital Center, Inc.

  dba MedStar Orthopedics

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1952722837
  NPD (past)
• Helixcare Medical Group, LLC

  dba MedStar Physician Partners-Specialits at St. Mary's

  • Urology Physician
  • Mechanicsville, MD
  • NPI 1164725529
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1902866379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W ROLLING CROSSROADS",
            "address_2": "SUITE 7",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286280",
            "telephone_number": "410-869-1990",
            "fax_number": "410-869-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W ROLLING CROSSROADS",
            "address_2": "SUITE 7",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286280",
            "telephone_number": "410-869-1990",
            "fax_number": "410-869-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIFF",
        "first_name": "W.",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0008485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Telemedicine Services, LLC
• Ejemeare P Igene, O.D
• Pauline Chinwe Igwe, HHA
• Ihope Behavioral Health LLC
• Chinyere Charirty Ikeako
• Juhee Linda Im
• Imbue Wellness LLC
• Abebe Sila Imiru, M.D.
• Impact Counseling Solutions, P.a.
• Infinity More Acupuncture & Herbal Medicine LLC

• Ophthalmology Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.