DR. JOHN JOSEPH WALLBILLICH IV


Address: 820 Saint Sebastian Way, Suite 3-a, Augusta, GA 30901-2643
Phone: 6142933873

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 820 SAINT SEBASTIAN WAY
SUITE 3-A
City AUGUSTA
State GA
Zip Code 30901-2643

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104892157 Julia T. Donovan Obstetrics & Gynecology 1120 15th St, Augusta, GA 30912-0004 2006-02-28

Providers in the same taxonomy and state

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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Competitor

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City AUGUSTA
Zip Code 30901

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Dataset Information

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.

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