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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | GA | Other Service Providers |
Street Address |
1400 OWENS AVE |
City | ALBANY |
State | GA |
Zip Code | 31705-1019 |
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 |
Find all providers in zip 31705 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
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 |
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 |
Find all providers in ALBANY |
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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.