DR. LATANYA P. FYNE (NPI# 1275643710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275643710 |
| Entity Type | Individual |
| Full Name | DR. LATANYA P. FYNE |
| Credential | D.P.M. |
| Practice Address |
1710 Central Ave. Augusta GA 30904-5850 |
| Practice Telephone | 7063734402 |
| Practice Fax Number | 7063648628 |
| Mailing Telephone | 7063734402 |
| Mailing Fax Number | 7063648628 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000619 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
000619 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPD619 | 05 |
| Street Address |
1710 CENTRAL AVE. |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-5850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954123 | Debrad Morgan, Dpm, LLC | Podiatrist | 3479 Sharon Rd, Augusta, GA 30909-9539 | 2016-11-03 |
| 1821064445 | Jack Frederick Hamilton | Podiatrist | 2030 Walton Way, Augusta, GA 30904-4120 | 2006-02-23 |
| 1649276411 | Andrew Taylor Smith IIi | Podiatrist | 26 Eastern Ave, Augusta, ME 04330-5722 | 2005-06-24 |
| 1710421458 | Compassionate Podiatry, LLC | Podiatrist | 3479 Sharon Rd, Augusta, GA 30909-9539 | 2016-12-15 |
| 1356704597 | Machli Adrien | Podiatrist | 1120 15th St, Augusta, GA 30912-3808 | 2016-04-04 |
| 1629413604 | Ian Harold Barker | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2013-05-06 |
| 1508147943 | Terria Nicole Madison | Podiatrist | 1 Freedom Way, Augusta, GA 30904-6258 | 2011-08-30 |
| 1740500339 | Melissa Marschner | Podiatrist | 1 Va Center, Augusta, ME 04330 | 2010-06-04 |
| 1801067947 | Dr. Andrew T. Smith, Dpm, Dba Augusta Foot and Ankle Center | Podiatrist | 26 Eastern Ave, Augusta, ME 04330-5722 | 2008-03-17 |
| 1679616072 | Augusta Podiatry Associates | Podiatrist | 2030 Walton Way, Augusta, GA 30904-4120 | 2007-02-15 |
| Find all providers in AUGUSTA | ||||
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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.