DR. IRINEO MINA SIBAL (NPI# 1114059136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114059136 |
Entity Type | Individual |
Full Name | DR. IRINEO MINA SIBAL |
Credential | M.D. |
Practice Address |
3485 Mike Padgett Hwy Augusta GA 30906-3815 |
Practice Telephone | 7067717843 |
Mailing Telephone | 7067717843 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 204D00000X | Neuromusculoskeletal Medicine & OMM | 0018845 | GA | Allopathic & Osteopathic Physicians |
X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
0018845 | GA | Allopathic & Osteopathic Physicians |
Street Address |
3485 MIKE PADGETT HWY |
City | AUGUSTA |
State | GA |
Zip Code | 30906-3815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386727006 | Nathan A. Wilson | Pediatrics | 3485 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969432 | Barton Chapel Dental Group, LLC | Dentist | 2755 Barton Chapel Road, Augusta, GA 30906 | 2020-04-01 |
1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
1023539731 | Kristy Lee Gibbs | Registered Nurse | 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 | 2017-07-03 |
1194186031 | Clifton Nane Williams | Counselor | 3230 Hampton Circle, Augusta, GA 30906 | 2016-03-18 |
1376929661 | Catherine A. Ganzy | Social Worker | 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 | 2015-08-10 |
1962810358 | Fatemeh Azadeh Paziraei | Dentist | 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 | 2014-07-29 |
1568809770 | Brandon Jennings | Occupational Therapy Assistant | 2388 Old Mcduffie Rd, Augusta, GA 30906 | 2013-05-29 |
1811266646 | Eddie P Johnson IIi, Dmd, PC | Preferred Provider Organization | 2755 Barton Chapel Rd, Augusta, GA 30906 | 2011-12-23 |
1366739021 | Kerensa A Cooks | Registered Nurse | 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 | 2011-07-01 |
1265737423 | Pidcock Chiropractic, Inc. | Chiropractor | 3028 Peach Orchard Rd., Augusta, GA 30906 | 2011-01-20 |
Find all providers in zip 30906 |
Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124225792 | Subhashini Ramesh | Neuromusculoskeletal Medicine & OMM | 1120 15th St, Augusta, GA 30912-0004 | 2007-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811544158 | Neurological Institute for Concussion and Headache | Neuromusculoskeletal Medicine & OMM | 11650 Alpharetta Hwy Ste 100, Roswell, GA 30076-3805 | 2019-08-21 |
1720359433 | Francois Lecoin | Neuromusculoskeletal Medicine & OMM | 502 Dragonfly Ct, Cumming, GA 30040-7719 | 2012-01-26 |
1841567922 | Elizabeth Harrill Willets | Neuromusculoskeletal Medicine & OMM | 2370 Bexford Vw, Cumming, GA 30041-7294 | 2011-11-17 |
1639349764 | Sandi Jacquelyn Stephens | Neuromusculoskeletal Medicine & OMM | 431 W Ponce De Leon Ave, Suite 7, Decatur, GA 30030-2458 | 2008-03-05 |
1144498882 | Suzanne C Easley | Neuromusculoskeletal Medicine & OMM | 327 Dahlonega St Ste A902, Cumming, GA 30040-2492 | 2008-02-15 |
1659575900 | Shawne Elaine Murray | Neuromusculoskeletal Medicine & OMM | 5150 Roswell Rd Ne, Atlanta, GA 30342-2208 | 2007-06-12 |
1306997861 | Murray R Berkowitz | Neuromusculoskeletal Medicine & OMM | 625 Old Peachtree Rd, Nw, Suite 104, Suwanee, GA 30024-2937 | 2007-01-12 |
1003980848 | Richard Hendry Armond IIi | Neuromusculoskeletal Medicine & OMM | 354 Arcado Rd Nw, Ste 3, Lilburn, GA 30047-2815 | 2006-11-20 |
1891756326 | Luckana Chaya | Neuromusculoskeletal Medicine & OMM | 3625 Sope Creek Farm Se, Marietta, GA 30067-5175 | 2006-04-02 |
1073598488 | Marietta Neurology and Headache Center, PC | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd, Ste 400, Marietta, GA 30060-7298 | 2005-12-08 |
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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.