MR. WOUTER JOHAN CEYSSENS (NPI# 1023310182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023310182 |
| Entity Type | Individual |
| Full Name | MR. WOUTER JOHAN CEYSSENS |
| Credential | PA-C |
| Practice Address |
3121 Peach Orchard Rd Suite 102 Augusta GA 30906-3521 |
| Practice Telephone | 7067925040 |
| Practice Fax Number | 7067925045 |
| Mailing Telephone | 7067925040 |
| Mailing Fax Number | 7067925045 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2013-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5932 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA CERTIFICATION | 1045790 | 01 | |
| GA | 358488587A | 05 |
| Street Address |
3121 PEACH ORCHARD RD SUITE 102 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30906-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649241902 | Sheng Y Wang | Internal Medicine | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3521 | 2006-01-26 |
| 1487271318 | Wendel Mcmillan | Licensed Practical Nurse | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2020-06-26 |
| 1285093443 | Lindsey Joanne Meagher | Nurse Practitioner | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2016-02-16 |
| 1134533961 | Lucero Jacqueline Vivar | Pediatrics | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2014-06-19 |
| 1265879761 | Tranika C Brown | Nurse Practitioner | 3121 Peach Orchard Rd, #103, Augusta, GA 30906-3521 | 2013-05-24 |
| 1841500543 | Natasha Lindsey Nattier | Nurse Practitioner | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2010-10-14 |
| 1790830768 | Christopher James Davidson | Pharmacist | 3121 Peach Orchard Rd, Suite 101, Augusta, GA 30906-3521 | 2007-01-23 |
| 1447349998 | Bakco Enterprises,inc | Pharmacy | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2006-10-12 |
| 1528010790 | Uh Internal Medicine Partners | Internal Medicine | 3121 Peach Orchard Rd, Suite 201, Augusta, GA 30906-3521 | 2006-05-16 |
| 1508832338 | Renee Coughlin | Internal Medicine | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3521 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
| 1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
| 1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
| 1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
| 1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
| 1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
| 1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
| 1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
| Find all providers in zip 30906 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
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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.