DR. VIVIAM SKARLETH TREJO (NPI# 1063941409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063941409 |
| Entity Type | Individual |
| Full Name | DR. VIVIAM SKARLETH TREJO |
| Credential | MD |
| Practice Address |
1120 15th Street Augusta GA 30912 |
| Mailing Address |
1120 15th St Augusta GA 30912-0004 |
| Practice Telephone | 7066640336 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 009077 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1120 15TH STREET |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
| 1174094668 | Mary Gabrielle Helfgott | Advanced Practice Midwife | 1120 15th Street, Ba #7513, Augusta, GA 30912 | 2018-12-10 |
| 1912492471 | Sarah Crumley Asmann | Nurse Practitioner | 1120 15th Street, Department of Surgery, Augusta, GA 30912 | 2018-06-27 |
| 1912499286 | Jillian Marie Soto | Family Medicine | 1120 15th Street, Augusta, GA 30912 | 2018-06-03 |
| 1447740741 | Amanda Meredith Saxon | Nurse Practitioner | 1120 15th Street, Bbr 6518, Augusta, GA 30912 | 2018-05-14 |
| 1447757968 | Mohamed M Meghil | Student in an Organized Health Care Education/Training Program | 1120 15th Street, Gc-1337, Augusta, GA 30912 | 2018-04-11 |
| 1942721667 | Christopher Glen Jackson | Emergency Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-07-03 |
| 1063933000 | Andrea Martinez-velez | Anesthesiology | 1120 15th Street, Augusta, GA 30912 | 2017-06-29 |
| 1548799976 | Alexander Herzog | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
| 1013446798 | Steven Tae Yi | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| 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 |
|---|---|---|---|---|
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| 1851958896 | Joseph Benjamin Pitt | Surgery | 1120 15th St # Bi-4072, Augusta, GA 30912-0004 | 2019-05-24 |
| 1508387499 | Lydia Kaoutzani | Surgery | 1120 15th St. Bi, Augusta, GA 30912-5501 | 2017-06-29 |
| 1699058362 | Harry C. Sherman | Surgery | 5 Rockbrook Rd, Augusta, GA 30909-3760 | 2011-09-20 |
| 1578745089 | General & Vascular Surgery Associates of Augusta, PC | Surgery | 1207 W Medical Park Rd, Augusta, GA 30909-4504 | 2007-11-27 |
| 1316128432 | Francisco Javier Jacome | Surgery | 2101 Central Ave, Augusta, GA 30904-6706 | 2007-11-16 |
| 1285857391 | Adil M Abuzeid | Surgery | 1120 15th St # Ba-4411, Georgia Regents Medical Associates, Augusta, GA 30912-0004 | 2007-04-10 |
| 1174687123 | Barry J Jenkins | Surgery | 1348 Walton Way Ste 6500, Augusta, GA 30901-5111 | 2006-12-21 |
| 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.