THOMASTON EAR, NOSE AND THROAT INC. (NPI# 1417958786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958786 |
| Entity Type | Organization |
| Organization Name | THOMASTON EAR, NOSE AND THROAT INC. |
| Practice Address |
210 Cherokee Rd Thomaston GA 30286-3402 |
| Practice Telephone | 7066464508 |
| Practice Fax Number | 7066462752 |
| Mailing Telephone | 7066464508 |
| Mailing Fax Number | 7066462752 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. KEVIN ANTHONY O'CONNELL (PHYSICIAN/PRESIDENT) |
| Authorized Official Telephone | 7066464508 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 041918 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAIL ROAD MEDICARE | 040013774 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 584912 | 01 |
| GA | 00711301C | 05 |
| Street Address |
210 CHEROKEE RD |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659442846 | Elaine Penny | Specialist | 4249 Old Alabama Rd, Thomaston, GA 30286-3270 | 2006-11-11 |
| 1730143942 | Monica Renner Stone | Specialist | 1297 S Green St, Thomaston, GA 30286-4618 | 2006-04-14 |
| 1003818741 | Norman L Donati Jr. | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2005-08-12 |
| 1982871299 | Benjamin S Brown | Specialist | 214 Cherokee Rd, Thomaston, GA 30286-3402 | 2008-05-15 |
| 1578783080 | Upson Orthopaedic Clinic | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2007-04-26 |
| 1093847329 | Thomaston Obstetrical & Gynecological Associates, P.C. | Specialist | 214 Cherokee Rd, Thomaston, GA 30286-3402 | 2007-03-12 |
| 1235238239 | Brandon Mark Boyce | Specialist | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2006-09-22 |
| 1093733222 | Keith B. Huckaby | Specialist | 519 W Main St, Thomaston, GA 30286-3504 | 2006-07-17 |
| 1033174875 | William Michael Oxford | Specialist | 403 W Main St, Thomaston, GA 30286-3503 | 2006-04-17 |
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|---|---|---|---|---|
| 1073113718 | Jennifer Lynn Harper | Specialist | 46 Rice Lewis Gilliard Dr, Toccoa, GA 30577-3683 | 2020-10-30 |
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| 1053926154 | Idoc Virtual Neuro Critical Care LLC | Specialist | 159 E Wesley Rd Ne, Atlanta, GA 30305-3707 | 2020-09-15 |
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| 1649888785 | Valeria Kim West | Specialist | 204 W Oglethorpe Hwy, Hinesville, GA 31313-3615 | 2020-07-15 |
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1316566755 | Kindle-simone Friedlander | Specialist | 13988 Sunfish Bnd, Alpharetta, GA 30004-0605 | 2020-04-15 |
| 1184252595 | Peachtree Surgical Assistants Inc | Specialist | 59 Anderson Ave Apt 127, Canton, GA 30114-2330 | 2020-03-31 |
| 1164056859 | Bimal R Shah Md PC | Specialist | 820 Saint Sebastian Way Ste 2a, Augusta, GA 30901-2636 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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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.