DR. RICARDO AZZIZ (NPI# 1447237375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447237375 |
| Entity Type | Individual |
| Full Name | DR. RICARDO AZZIZ |
| Credential | MD |
| Practice Address |
1120 15th Street Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Suite 1400 Augusta GA 30901-2603 |
| Practice Telephone | 7067224434 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
064801 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1120 15TH STREET |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094668 | Mary Gabrielle Helfgott | Advanced Practice Midwife | 1120 15th Street, Ba #7513, Augusta, GA 30912 | 2018-12-10 |
| 1912492471 | Sarah Crumley Asmann | Nurse Practitioner | 1120 15th Street, Department of Surgery, Augusta, GA 30912 | 2018-06-27 |
| 1912499286 | Jillian Marie Soto | Family Medicine | 1120 15th Street, Augusta, GA 30912 | 2018-06-03 |
| 1447740741 | Amanda Meredith Saxon | Nurse Practitioner | 1120 15th Street, Bbr 6518, Augusta, GA 30912 | 2018-05-14 |
| 1447757968 | Mohamed M Meghil | Student in an Organized Health Care Education/Training Program | 1120 15th Street, Gc-1337, Augusta, GA 30912 | 2018-04-11 |
| 1942721667 | Christopher Glen Jackson | Emergency Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-07-03 |
| 1063933000 | Andrea Martinez-velez | Anesthesiology | 1120 15th Street, Augusta, GA 30912 | 2017-06-29 |
| 1063941409 | Viviam Skarleth Trejo | Surgery | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
| 1548799976 | Alexander Herzog | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
| 1013446798 | Steven Tae Yi | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| 1932398831 | Reproductive Endocrinologists, PC | Obstetrics & Gynecology | 903 15th St, Augusta, GA 30901-2607 | 2007-10-17 |
| 1558432179 | Puthugramam K Natrajan | Obstetrics & Gynecology | 903 15th Street, Augusta, GA 30910 | 2006-11-13 |
| 1538278940 | Lawrence C. Layman | Obstetrics & Gynecology | 810 Chafee Ave, Augusta, GA 30904-5806 | 2006-08-30 |
| 1912016031 | Paul G. Mcdonough | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1992752083 | Ana Alvarez Murphy | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538645908 | Reproductive Health Medicine & Gynecology | Obstetrics & Gynecology | 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-2203 | 2018-07-18 |
| 1659881290 | Coastal Fertility Center | Obstetrics & Gynecology | 9100 White Bluff Rd Ste 201, Savannah, GA 31406-4600 | 2017-10-10 |
| 1639469471 | David Austin Schirmer IIi | Obstetrics & Gynecology | 550 Peachtree St Ne Bldg Ste 1800, Atlanta, GA 30308-2247 | 2011-04-13 |
| 1194988949 | Obehi Alexandria Asemota | Obstetrics & Gynecology | 3005 Royal Blvd S Ste 220, Alpharetta, GA 30022-1408 | 2008-07-02 |
| 1760668396 | Jessica Bronwyn Spencer | Obstetrics & Gynecology | 550 Peachtree Rd., Crawford Long Medical Office Tower, Ste 1800, Atlanta, GA 30308 | 2008-01-14 |
| 1750458261 | Specialty Gynecology PC | Obstetrics & Gynecology | 2398 Mount Vernon Rd, Suite 150, Dunwoody, GA 30338-3064 | 2006-11-29 |
| 1235211442 | Paula Abby Rothman | Obstetrics & Gynecology | 7141 Hunters Branch Ct Ne, Atlanta, GA 30328-1709 | 2006-10-19 |
| 1528167590 | Glenn P. Palmisano | Obstetrics & Gynecology | 4 Sundew Rd, Savannah, GA 31411-2955 | 2006-09-22 |
| 1518071182 | James John Bendell | Obstetrics & Gynecology | 310 S Lewis St, Lagrange, GA 30240-3144 | 2006-08-19 |
| 1336108190 | Carlene W. Elsner | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-21 |
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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.