MISHONDAS SHANTEL BOGANS


Address: 1400 Owens Ave, Albany, GA 31705-1019
Phone: 2293439031

MISHONDAS SHANTEL BOGANS (NPI# 1073146437) 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) 1073146437
Entity Type Individual
Full Name MISHONDAS SHANTEL BOGANS
Practice Address 1400 Owens Ave
Albany
GA 31705-1019
Practice Telephone 2293439031
Mailing Telephone 2293439031
Enumeration Date 2020-02-13
Last Update Date 2020-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor GA Other Service Providers

Office Location

Street Address 1400 OWENS AVE
City ALBANY
State GA
Zip Code 31705-1019

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346897410 Bonnie Scott Technician 418 Persimmon Road, Albany, GA 31705 2019-08-22
1265962906 Shoes and Medical Product Solutions LLC Durable Medical Equipment & Medical Supplies 1715 E Oglethorpe Blvd, Albany, GA 31705 2017-06-15
1083156079 Dianne Lanier Specialist 217 Johnson Road Suite C, Albany, GA 31705 2016-11-08
1699225342 Yolanda Fields Contractor 609 Pine Glen Drive, Albany, GA 31705 2016-10-06
1225276272 Michael Bernard Sanders Prosthetist 326 Enterprise Dr., Albany, GA 31705 2009-01-29
1588724223 Karen Baker Nurse Practitioner 213 Old Radium Springs Road, Albany, GA 31705 2006-12-11
1780608992 Albany Area Primary Health Care, Inc. Clinic/Center 1712-a East Broad Avenue, Albany, GA 31705 2006-07-27
1740289545 Belise Livingston-burns Pediatrics 1712-c East Broad Avenue, Albany, GA 31705 2005-07-14
1407950876 Donna Edmond-king Pediatrics 1712-c East Broad Avenue, Albany, GA 31705 2006-09-07
1396849766 William Mcpeters Internal Medicine 1712-a East Broad Avenue, Albany, GA 31705 2006-09-07
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427670371 Kenya N Hamilton Contractor 2319 Meadow Brook Ln, Albany, GA 31707-2295 2020-05-14
1548895949 Charlee L James-dailey Contractor 1307 Pinehurst Dr, Albany, GA 31707-5027 2020-03-05
1013540475 Quentin Tremain Davis Contractor 2907 Winterwood Ave, Albany, GA 31721-4521 2020-02-13
1508401563 Shamonica Lataya Smith Contractor 615 Kingsbury Ln, Albany, GA 31707-4643 2019-11-14
1699310631 Gloria Jean King Contractor 707 Barkley Blvd, Albany, GA 31705-1207 2019-11-13
1275176893 Ethel Lee Moses Contractor 1511 W Gordon Ave, Albany, GA 31707-4843 2019-10-26
1093369787 Rhoda Elmore Huff Contractor 1206 Westwood Dr Apt A, Albany, GA 31721-7326 2019-07-31
1518526466 Anthony Sylvester Contractor 916 Rosedale Ave, Albany, GA 31701-1730 2019-06-12
1275199127 Daphne Pouncil Contractor 112 Courtney Ct Apt B, Albany, GA 31721-6297 2019-05-16
1134784754 Shaundra Kyeren Mccloud-stephens Contractor 1402 Gail Ave, Albany, GA 31707-2611 2019-05-08
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Competitor

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City ALBANY
Zip Code 31705

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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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