MARK E DOROGY (NPI# 1275577934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275577934 |
| Entity Type | Individual |
| Full Name | MARK E DOROGY |
| Credential | M.D. |
| Practice Address |
612 W Gordon St Suite C Thomaston GA 30286-3480 |
| Practice Telephone | 7066465712 |
| Practice Fax Number | 7066475111 |
| Mailing Telephone | 7066465712 |
| Mailing Fax Number | 7066475111 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
041105 | GA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
041105 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000692755A | 05 |
| Street Address |
612 W GORDON ST SUITE C |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818741 | Norman L Donati Jr. | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2005-08-12 |
| 1417359860 | Lynn Barnes | Specialist/Technologist | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2014-09-17 |
| 1205277993 | Brandi Jackson Swatts | Nurse Practitioner | 612 W Gordon St, Thomaston, GA 30286-3480 | 2013-07-10 |
| 1588904833 | Hugh D. Smith, M.d., LLC | Obstetrics & Gynecology | 612 W Gordon St, Suite B, Thomaston, GA 30286-3480 | 2013-02-25 |
| 1831413962 | Orthopedics Sports Medicine & Surgery, LLC | Orthopaedic Surgery | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2010-03-18 |
| 1154577872 | Darryl Hugh Knight | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3480 | 2008-08-13 |
| 1578783080 | Upson Orthopaedic Clinic | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2007-04-26 |
| 1235238239 | Brandon Mark Boyce | Specialist | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2006-09-22 |
| 1386691285 | Flint River Surgical Associates, LLC | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3416 | 2006-05-27 |
| 1992750012 | Robert Solyomvari | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3416 | 2006-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
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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.