IAN C. HERSKOWITZ (NPI# 1295880680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295880680 |
| Entity Type | Individual |
| Full Name | IAN C. HERSKOWITZ |
| Credential | M.D. |
| Practice Address |
820 Saint Sebastian Way Ste 4a Augusta GA 30901 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7067745995 |
| Practice Fax Number | 7067745996 |
| Mailing Telephone | 7067747760 |
| Mailing Fax Number | 7067747766 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
34157 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | G34157 | 05 | |
| RAILROAD MEDICARE | 110051869 | 01 | |
| GA | 00713292A | 05 | |
| CLIA NUMBER | 11D0687551 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1303 Dantignac St, Suite 1200, Augusta, GA 309012775 | 7067747760 | 7067747766 |
| 4321 University Pkwy Ste 101, Evans, GA 308093093 | 7067745995 | 7067745996 |
| Street Address |
820 SAINT SEBASTIAN WAY STE 4A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568007813 | Elsie-solange Mvoueng Nkoi-mimba | Nurse Practitioner | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901-2643 | 2019-11-11 |
| 1932674223 | Krista Dennis | Physician Assistant | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901-2643 | 2018-10-12 |
| 1508359274 | Hillary Hendley | Physician Assistant | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901 | 2018-06-07 |
| 1962639823 | Matthew Steven Nicholson | Internal Medicine | 820 Saint Sebastian Way Ste 4a, Augusta, GA 30901-2643 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1861510380 | Madhukar Sadashivrao Bandisode | Internal Medicine | 1215-a George C Wilson Dr, Vitkin's Dr.weight Loss & Control Clinic, Suite 2, Augusta, GA 30909 | 2007-03-26 |
| 1659462919 | Robert William Harper II | Internal Medicine | 1109 Medical Center Drive, Building 3, Augusta, GA 30909 | 2006-09-28 |
| 1639501505 | Umg Endocrinology LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. # 4-c, Augusta, GA 30901-2643 | 2013-08-02 |
| 1447517883 | Mark Sheynshteyn | Internal Medicine | 1120 15th St, Augusta, GA 30912-3230 | 2012-04-23 |
| 1679716765 | University Endocrine & Internal Medicine Inc | Internal Medicine | 820 St. Sebastian Way, Suite 7a, Augusta, GA 30901 | 2009-04-20 |
| 1164684700 | Shehzad Mehboob Topiwala | Internal Medicine | 462 Furys Ferry Rd, Augusta, GA 30907-9506 | 2008-06-25 |
| 1215153614 | Internal Medicine & Endocrine Associates of Augusta,p.c. | Internal Medicine | 820 Saint Sebastian Way, Suite 7a, Augusta, GA 30901-2643 | 2007-04-17 |
| 1437299211 | West Augusta Internal Medicine Associates | Internal Medicine | 1109 Medical Center Dr, Building 3, Augusta, GA 30909-6633 | 2007-02-08 |
| 1942355342 | Leyla El-choufi | Internal Medicine | 1303 Dantignac St, Suite 1200, Augusta, GA 30901-2775 | 2007-01-24 |
| 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.