DR. JOHN JOSEPH WALLBILLICH IV (NPI# 1396094744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396094744 |
Entity Type | Individual |
Full Name | DR. JOHN JOSEPH WALLBILLICH IV |
Credential | M.D. |
Practice Address |
820 Saint Sebastian Way Suite 3-a Augusta GA 30901-2643 |
Mailing Address |
320 W 10th Ave M210 Starling Loving Columbus OH 43210-1280 |
Practice Telephone | 6142933873 |
Mailing Telephone | 6142937642 |
Enumeration Date | 2012-08-30 |
Last Update Date | 2016-09-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 35.121625 | OH | Allopathic & Osteopathic Physicians |
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
076530 | GA | Allopathic & Osteopathic Physicians |
Street Address |
820 SAINT SEBASTIAN WAY SUITE 3-A |
City | AUGUSTA |
State | GA |
Zip Code | 30901-2643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023017829 | Karen Ann Yeh | Specialist | 820 Saint Sebastian Way, Augusta, GA 30901-2643 | 2005-07-14 |
1386092559 | Penn Heart LLC | Internal Medicine | 820 Saint Sebastian Way, Ste 2b, Augusta, GA 30901-2643 | 2016-05-29 |
1144681651 | Barrington Bagwell | Registered Nurse | 820 Saint Sebastian Way, Ste. # 4c, Augusta, GA 30901-2643 | 2016-03-10 |
1538550116 | Kirsten E Sawyer | Physician Assistant | 820 Saint Sebastian Way, Suite 8a, Augusta, GA 30901-2643 | 2015-02-18 |
1912330804 | Umg Neurology, LLC | Hospitalist | 820 Saint Sebastian Way, #4-c, Augusta, GA 30901-2643 | 2013-08-14 |
1639501505 | Umg Endocrinology LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. # 4-c, Augusta, GA 30901-2643 | 2013-08-02 |
1104258359 | Umg Cardiothoracic Surgery LLC | Internal Medicine | 820 Saint Sebastian Way, Ste. 6- B Pob1, Augusta, GA 30901-2643 | 2013-07-30 |
1811246317 | Benjamin M Gentry | Physician Assistant | 820 Saint Sebastian Way, Suite 8a, Augusta, GA 30901-2643 | 2012-08-30 |
1598029423 | Feroze Afzal | Psychiatry & Neurology | 820 Saint Sebastian Way, Suite # 400, Augusta, GA 30901-2643 | 2012-06-26 |
1275857856 | Csra Womens Health, LLC | Specialist | 820 Saint Sebastian Way, Suite 1b, Augusta, GA 30901-2643 | 2010-03-25 |
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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 |
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Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104892157 | Julia T. Donovan | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174880223 | Ernest Washington Franklin IIi | Obstetrics & Gynecology | 1 Bookhaven Dr., Suite 400, Atlanta, GA 30319-3059 | 2012-04-13 |
1740579390 | Marian Symmes Johnson | Obstetrics & Gynecology | 682 Hemlock St Ste 210, Macon, GA 31201 | 2011-04-05 |
1912118324 | Namita Khanna | Obstetrics & Gynecology | 1365 A Clifton Rd, Building Aa, 4'th Floor, Atlanta, GA 30332-2200 | 2007-05-25 |
1417060112 | Ainsworth Gatewood Dudley | Obstetrics & Gynecology | 401 S Lee St, Americus, GA 31709-3917 | 2006-08-16 |
1265465140 | Evelyn A Reynolds | Obstetrics & Gynecology | 2500 Hospital Blvd Ste 410, Roswell, GA 30076 | 2006-07-07 |
1245260884 | Ira Robert Horowitz | Obstetrics & Gynecology | Department of Gynecology and Obstetrics, 1365 Clifton Road, N.e., Atlanta, GA 30322-0001 | 2006-07-03 |
1780650283 | Matthew O Burrell | Obstetrics & Gynecology | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-02-24 |
1598750945 | William Edward Richards | Obstetrics & Gynecology | 5353 Reynolds St Ste 200, Savannah, GA 31405-6087 | 2005-09-13 |
1932191582 | Alan N Gordon | Obstetrics & Gynecology | 840 Pine St, Ste 760, Macon, GA 31201-2100 | 2005-08-19 |
1831699966 | Keianna S Haley | Obstetrics & Gynecology | 3240 Avalon Blvd, Conyers, GA 30013-6320 | 2018-02-15 |
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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.