EFFINGHAM VASCULAR CENTER, LLC


Address: 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183
Phone: 9128266771

EFFINGHAM VASCULAR CENTER, LLC (NPI# 1043773161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043773161
Entity Type Organization
Organization Name EFFINGHAM VASCULAR CENTER, LLC
Other Organization Name EFFINGHAM VASCULAR CENTER
Practice Address 613 Towne Park Dr W Ste 204
Rincon
GA 31326-5183
Mailing Address 459 Highway 119 South
Attn.: Credentialing
Springfield
GA 31329
Practice Telephone 9128266771
Practice Fax Number 9122955605
Mailing Telephone 9127540175
Mailing Fax Number 9127542570
Enumeration Date 2019-04-08
Last Update Date 2020-04-13
Authorized Official Name DR. FRAN BAKER-WITT (CEO)
Authorized Official Telephone 9127540160
Authorized Official Credential RN, MBA, LNHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Effingham Vascular Center Doing Business As Name - Organization

Office Location

Street Address 613 TOWNE PARK DR W STE 204
City RINCON
State GA
Zip Code 31326-5183

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598220915 Effingham Urology, LLC Urology 613 Towne Park Dr W Ste 204, Rincon, GA 31326-5183 2019-02-11

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NPI Name Taxonomy Address Enumeration
1437657160 Vitality Counseling, Inc Counselor 135 Goshen Road Ext Ste 203, Rincon, GA 31326 2018-01-29
1174045322 Katelyn Dodsworth Sundin Dentist 5871 Ga-21 S, Rincon, GA 31326 2017-07-10
1861943284 Covenant Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 112 Goshen Commercial Park Dr., Rincon, GA 31326 2016-10-20
1013465681 Aaron D. Webb Nurse Practitioner 423 S Columbia Avenue, Rincon, GA 31326 2016-09-13
1659726255 Reagan Reese Powell Counselor 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 2016-05-02
1982065652 Shronda Bowman Specialist 1214n Columbia Ave, Unit B, Rincon, GA 31326 2016-03-09
1306202890 The Kroger Co Durable Medical Equipment & Medical Supplies 461 S Columbia Ave, Rincon, GA 31326 2016-01-13
1053628255 Jennifer Erin Creech Dentist 429 S Columbia Ave, Rincon, GA 31326 2010-09-09
1548596737 Rincon Medical Center Clinic/Center 119 Chimney Road, Rincon, GA 31326 2009-10-23
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Find all providers in zip 31326

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241265 Jennifer Ann Hales Surgery 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 2020-09-24
1902423387 Center for Vein Restoration Ga Corp Surgery 1100 Johnson Fy Rd Ne Ste 165, Atlanta, GA 30342-1795 2020-07-01
1487133278 Usa Vascular Center of Decatur LLC Surgery 495 Winn Way Ste 230, Decatur, GA 30030-1736 2018-08-13
1841789914 Milner Vein and Vascular LLC Surgery 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 2018-05-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1689012205 Daniel Joseph Badia Surgery 601 Professional Dr Ste A220, Lawrenceville, GA 30046-7698 2013-06-05
1740507425 Christopher Ray Ramos Surgery 1365 Clifton Road Ne, Building A, Room A2200, Atlanta, GA 30322 2010-04-21
1184879678 Rockdale Vascular and Thoracic Surgery, LLC Surgery 1368c Wellbrook Cir Ne, Conyers, GA 30012-3872 2008-11-25
1528218393 Vladimir Zahradnik Surgery 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 2008-09-29
1487819132 Yazan Duwayri Surgery Division of Vascular Surgery Emory Clinic Bldg A, 1365 Clifton Road Ne. 3rd Floor, Atlanta, GA 30322-0001 2008-07-22
Find all providers with the same taxonomy

Competitor

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City RINCON
Zip Code 31326

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Dataset Information

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.

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