DR. AKRAM MAHMOUD HASSANYEH (NPI# 1003993817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003993817 |
| Entity Type | Individual |
| Full Name | DR. AKRAM MAHMOUD HASSANYEH |
| Credential | M.D. |
| Practice Address |
1058 Bermuda Run Statesboro GA 30458-0858 |
| Practice Telephone | 9128717100 |
| Practice Fax Number | 9128717110 |
| Mailing Telephone | 9128717100 |
| Mailing Fax Number | 9128717110 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 029881 | GA | Other Service Providers |
| Y | 208600000X | Surgery | 29881 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10062642 | 01 |
| GA | RAILROAD MEDICARE | 020046873 | 01 |
| GA | CEDAR SURGICAL ASSOCIATES | 582449176 | 01 |
| GA | 000365131D | 05 | |
| GA | WELLCARE | 354445 | 01 |
| Street Address |
1058 BERMUDA RUN |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866322 | Raul Nelson Lugo | Surgery | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-01-25 |
| 1548750003 | Kathryn Hilovsky | Physician Assistant | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2018-05-10 |
| 1912272675 | Jason Floyd Tucker | Nurse Practitioner | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2012-03-14 |
| 1275764094 | Jean-claude Schwartz, M.d., P.C. | Surgery | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2009-07-28 |
| 1235141185 | Cedar Surgical Associates, PC | Specialist | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-08-12 |
| 1194742288 | Carolina Surgical Oncology, PC | Specialist | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707436 | Shiloh Wound Care PC | Surgery | 1497 Fair Rd Ste 103, Statesboro, GA 30458-0823 | 2007-08-29 |
| 1699719179 | Kenneth Brian Walton | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2006-06-15 |
| 1801866322 | Raul Nelson Lugo | Surgery | 1058 Bermuda Run, Statesboro, GA 30458-0858 | 2006-01-25 |
| 1124303177 | Screven County Family Health Center, LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2011-10-20 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1477860906 | Jenkins County Hospital | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-09-03 |
| 1487983151 | East Georgia Hma Physician Management, LLC | Surgery | 1497 Fair Rd, Statesboro, GA 30458-0822 | 2009-12-09 |
| 1548420599 | Rebecca Marie Spahos | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458-0858 | 2008-06-12 |
| 1548448418 | Jean-claude David Schwartz | Surgery | 1058 Bermuda Run Road, Statesboro, GA 30458 | 2008-02-04 |
| 1316016819 | John Edward Martin Sr. | Surgery | 1497 Fair Rd, Suite 103, Statesboro, GA 30458-0822 | 2006-11-07 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.