DR. STEVEN W PRUETT (NPI# 1013015544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013015544 |
| Entity Type | Individual |
| Full Name | DR. STEVEN W PRUETT |
| Credential | M.D. |
| Practice Address |
1104 Martha Berry Blvd Ne Rome GA 30165-1612 |
| Practice Telephone | 7062912077 |
| Practice Fax Number | 7062354177 |
| Mailing Telephone | 7062912077 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
045319 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
045319 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
045319 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
045319 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS OF GEORGIA | 524527 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218956 | Steven Jay Pruett | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2020-06-03 |
| 1255680492 | Steven R Pruett | Psychologist | 4985 Searls Dr Nw, North Canton, OH 44720-7464 | 2012-09-04 |
| Street Address |
1104 MARTHA BERRY BLVD NE |
| City | ROME |
| State | GA |
| Zip Code | 30165-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285661926 | Kevin D Phillips | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-06-27 |
| 1659552792 | Leverett C Neville | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2007-11-16 |
| 1972689800 | Thomas Hackney R. Farmer | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-10-31 |
| 1295815421 | Edward W Brewster Jr. | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-10-16 |
| 1144300195 | J. Daniel Hanks Jr. | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750539177 | Louis Hamilton Vanslyke | Radiology | 6765 Golf Course Rd, Rome, NY 13440-7547 | 2008-08-28 |
| 1609034388 | James M Terzian | Radiology | 901 N Broad St Ne Ste 120, Rome, GA 30161-5202 | 2008-05-29 |
| 1922084474 | Eddie Salvatore Fiore | Radiology | Via Cortina D'ampezzo 57, Rome, NOT APPLICABLE 00135 | 2005-12-16 |
| 1013356740 | Constantinos Theodoros Spyris | Radiology | 901 N Broad St Ne Ste 120, Rome, GA 30161-5202 | 2013-06-15 |
| 1538466115 | Mohawk Glen Radiology Associates of Cny Pllc | Radiology | 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 2011-02-17 |
| 1578880308 | Adams W Moore | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5201 | 2010-05-04 |
| 1679751606 | Daniel Gober | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5201 | 2008-01-31 |
| 1922299957 | Michael Paul Holcombe | Radiology | 901 N Broad St Ne, Suite 220, Rome, GA 30161-5207 | 2007-08-06 |
| 1265564975 | Rome Mri Associates | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2007-03-09 |
| 1801838867 | Matthew B Mcclain | Radiology | 255 W 5th St Sw, Suite 150, Rome, GA 30165-2817 | 2006-06-12 |
| Find all providers in ROME | ||||
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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.