DR. IRINEO MINA SIBAL


Address: 3485 Mike Padgett Hwy, Augusta, GA 30906-3815
Phone: 7067717843

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3485 MIKE PADGETT HWY
City AUGUSTA
State GA
Zip Code 30906-3815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386727006 Nathan A. Wilson Pediatrics 3485 Mike Padgett Hwy, Augusta, GA 30906-3815 2006-10-24

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 204D00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neuromusculoskeletal Medicine & OMM

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124225792 Subhashini Ramesh Neuromusculoskeletal Medicine & OMM 1120 15th St, Augusta, GA 30912-0004 2007-06-28

Providers in the same taxonomy and state

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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Competitor

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City AUGUSTA
Zip Code 30906

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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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