DR. BILL G RICHENDOLLAR (NPI# 1306012554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306012554 |
| Entity Type | Individual |
| Full Name | DR. BILL G RICHENDOLLAR |
| Credential | M.D. |
| Practice Address |
2701 N Decatur Rd Decatur GA 30033-5918 |
| Practice Telephone | 4042923500 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
63803 | GA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
63803 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 329590015A | 05 | |
| GA | 329590015B | 05 | |
| GA | 329590015C | 05 |
| Street Address |
2701 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
| 1275142473 | Jeanne Marie Louise Mirbey | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-24 |
| 1639787708 | Erin Marie Webb | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-07-15 |
| 1730705112 | Amitha Dhingra LLC | Psychiatry & Neurology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-06-22 |
| 1154941714 | John C Haight | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-23 |
| 1871113787 | Chandler Ligas | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-21 |
| 1992334973 | Hannah R Schneiders | Student in an Organized Health Care Education/Training Program | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-02 |
| 1740818814 | Valerie Lynn Rouse Beliard | Nurse Practitioner | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-04-01 |
| 1134757529 | Daniel Dunlap | Physician Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-31 |
| 1730714189 | Skye Elizabeth Criswell | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679891311 | Cindy Mei Chy Hsieh | Pathology | 1800 E. Lake Shore Drive, Decatur, IL 62521-4839 | 2010-05-05 |
| 1952314627 | Elizabeth W Jones | Pathology | 2300 N Edward Street, Decatur, IL 62526 | 2006-08-14 |
| 1922014455 | David Martin Johnson | Pathology | 2300 N Edward Str, Decatur, IL 62526 | 2006-08-01 |
| 1063426526 | Robert Kevin Harrell | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-07-28 |
| 1417907890 | Vijay Alluri Varma | Pathology | Va Medical Center Lab Services, 1670 Clairmont Rd., Decatur, GA 30033 | 2006-05-10 |
| 1376504365 | Sue A Strayer | Pathology | 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521-3883 | 2006-03-29 |
| 1013335074 | Shannon Marie O'brien | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-04-06 |
| 1356607998 | Tesha Ann Guillory | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2012-04-09 |
| 1386930832 | Lora Darrisaw | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2011-06-23 |
| 1861678468 | Jigna C Jani | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2008-01-14 |
| Find all providers in DECATUR | ||||
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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.