DR. CORBETT MARK THIGPEN (NPI# 1295785475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295785475 |
Entity Type | Individual |
Full Name | DR. CORBETT MARK THIGPEN |
Credential | MD |
Practice Address |
3650 J Dewey Gray Cir Augusta GA 30909-1867 |
Practice Telephone | 7068639797 |
Practice Fax Number | 7068689209 |
Mailing Telephone | 7068639797 |
Mailing Fax Number | 7068689209 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
021058 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00263172A | 05 | |
GA | BCBS | 026876 | 01 |
GA | UHC | 0900126 | 01 |
GA | AETNA | 0519750 | 01 |
SC | G21058 | 05 |
Street Address |
3650 J DEWEY GRAY CIR |
City | AUGUSTA |
State | GA |
Zip Code | 30909-1867 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174523419 | Myron D F Collins | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2005-07-28 |
1699380493 | Jaison D Majzer | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2020-09-09 |
1750833729 | Kathleen Devan Early | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2016-10-26 |
1225458755 | Aos Surgery Center LLC | Clinic/Center | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2014-04-23 |
1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
1114238474 | Nicholas Michael Capito | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909 | 2010-07-01 |
1174858310 | Jason Donald Lee | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1003141243 | Stacy Leigh Rush | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1972838118 | Derek Martin Lamb | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1366776866 | Michael Frederic Pruitt | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-09-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
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Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134546625 | Rishin Jatin Kadakia | Orthopaedic Surgery | 100 Woodruff Cir, Suite 327, Atlanta, GA 30322-0001 | 2014-03-24 |
1326333402 | Michelle Coleman | Orthopaedic Surgery | 57 Executive Park S Ste 120, Atlanta, GA 30329-2248 | 2011-06-16 |
1992704514 | Steven Louis Shapiro | Orthopaedic Surgery | 6715 Forest Park Dr, Savannah, GA 31406-2507 | 2005-07-15 |
1194387571 | Nathaniel A Ptak | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2019-07-05 |
1487140950 | Kanesha Monique Gillyard | Orthopaedic Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-07-07 |
1952697336 | Michael Gary Hull | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060 | 2011-06-23 |
1205071552 | Daniel Lee Maxwell | Orthopaedic Surgery | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2008-12-15 |
1275601171 | Perimeter Orthopaedics, P.C. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342 | 2006-12-01 |
1477623098 | Paul Victor Spiegl Sr. | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2006-11-09 |
1861562381 | Lamar L Fleming | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Suite 311, Atlanta, GA 30303-3049 | 2006-11-09 |
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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.