JAMES H VICK III (NPI# 1083691703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083691703 |
| Entity Type | Individual |
| Full Name | JAMES H VICK III |
| Credential | MD |
| Practice Address |
15 Riverbend Dr Sw Ste 200 Rome GA 30161-6065 |
| Practice Telephone | 7062910884 |
| Practice Fax Number | 7062350405 |
| Mailing Telephone | 7062910884 |
| Mailing Fax Number | 7062350405 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 037720 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | 16BDDZS | 01 |
| GA | 00658259A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252059 | James E. Vick | Dentist | 3703 Plum Glen Ct, Houston, TX 77059-3748 | 2005-08-19 |
| 1336145465 | James W Vick | Family Medicine | 15 E Redman Ave, Haddonfield, NJ 08033-2316 | 2005-06-23 |
| 1881766830 | James Kyle Vick | Dentist | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2006-11-14 |
| Street Address |
15 RIVERBEND DR SW STE 200 |
| City | ROME |
| State | GA |
| Zip Code | 30161-6065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110263 | Lori Ponder | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-11-08 |
| 1427428085 | Children's Dental Center, PC | Dentist | 15 Riverbend Dr Sw, Ste 130, Rome, GA 30161-6005 | 2015-09-25 |
| 1548685811 | Ashley Ann Holloway | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 | 2014-02-24 |
| 1134468101 | Emma Cordle | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 | 2013-02-11 |
| 1083893150 | Kristen Higgins Leezer | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6005 | 2007-10-25 |
| 1053462325 | Northwest Georgia Medical Clinic, P.C. | Specialist | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2007-01-15 |
| 1861424004 | Lisa Blake | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2006-07-07 |
| 1336127802 | Asa A. Peek | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2006-01-05 |
| 1447237169 | Dixon L Freeman | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2005-12-22 |
| 1609853324 | Mary Catherine Burch | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033403787 | Ijeoma Ibezue | Obstetrics & Gynecology | 1608 Martha Berry Neblvd, Rome, GA 30165-1622 | 2011-05-29 |
| 1134244189 | Luigi Donfrancesco | Obstetrics & Gynecology | 44 Lungotevere Mellini, Studio Pignanelli, Rome, RM 00193 | 2007-03-20 |
| 1568522829 | John Tollison Collins | Obstetrics & Gynecology | 316 W 10th St Ne, Rome, GA 30165-2639 | 2006-12-09 |
| 1417047457 | Nancy S Peek | Obstetrics & Gynecology | 8080 Turin Rd, Rome, NY 13440-1910 | 2006-10-13 |
| 1356444160 | Lauren Ann Giustra | Obstetrics & Gynecology | 107 East Chestnut Street, Rome, NY 13440 | 2006-09-07 |
| 1710080593 | Ankur Desai | Obstetrics & Gynecology | 107 East Chestnut St, Rome, NY 13440 | 2006-09-06 |
| 1710098942 | Leigh Saunders Barrell | Obstetrics & Gynecology | 1608 Martha Berry Blvd Ne, Rome, GA 30165-1622 | 2006-08-31 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1821092669 | Marc Merrick Dean | Obstetrics & Gynecology | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2005-06-09 |
| 1205219813 | Courtney Nicole Pineau | Obstetrics & Gynecology | 7900 Turin Rd, Building 4, Suite 2, Rome, NY 13440 | 2015-06-30 |
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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.