RODGER HENRY EIDSON (NPI# 1164649935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164649935 |
| Entity Type | Individual |
| Full Name | RODGER HENRY EIDSON |
| Credential | MD |
| Practice Address |
1105 Burleyson Road Dalton GA 30720 |
| Practice Telephone | 7062784640 |
| Practice Fax Number | 7062756599 |
| Mailing Telephone | 7062784640 |
| Mailing Fax Number | 7062756599 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 012695 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00119743A | 05 |
| Street Address |
1105 BURLEYSON ROAD |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1578730453 | John Everett Turrentine | Obstetrics & Gynecology | 600 S Thornton Ave Bldg B, Dalton, GA 30720-8271 | 2008-05-10 |
| 1578734364 | David H. Drucker, M.d. | Obstetrics & Gynecology | 1308 Memorial Dr Ste 2, Dalton, GA 30720-2577 | 2008-03-19 |
| 1992903165 | Brian Glass Md Ob/gyn | Obstetrics & Gynecology | 1109 Burleyson Rd Ste 205, Dalton, GA 30720-3094 | 2007-07-10 |
| 1881621142 | Wesley Mabry Stuckey | Obstetrics & Gynecology | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2006-06-26 |
| 1811933393 | Elizabeth M Stropnicky | Obstetrics & Gynecology | 1102 W Waugh St, Dalton, GA 30720-8769 | 2006-06-21 |
| 1265429146 | Brian A Glass | Obstetrics & Gynecology | 1109 Burleyson Rd, Suite 205, Dalton, GA 30720-3094 | 2005-10-05 |
| 1134305204 | Angela S Wood | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2008-01-18 |
| 1699802918 | Angela Darlene Renee Donehoo | Obstetrics & Gynecology | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2007-02-27 |
| 1518032861 | North Ga Health District | Obstetrics & Gynecology | 100 W Walnut Ave, Suite 92, Dalton, GA 30720 | 2006-11-22 |
| 1649371998 | Harvey Samuel Wages Jr. | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2006-09-26 |
| Find all providers in DALTON | ||||
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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.