DUBLIN UROLOGY, LLC (NPI# 1508121245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508121245 |
| Entity Type | Organization |
| Organization Name | DUBLIN UROLOGY, LLC |
| Practice Address |
200 Fairview Park Dr Dublin GA 31021-2547 |
| Mailing Address |
Po Box 407 Vidalia GA 30475-0407 |
| Practice Telephone | 4782726150 |
| Mailing Telephone | 9125374986 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | TONY M OSTEEN (CFO) |
| Authorized Official Telephone | 9125385314 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST REGIONAL PRIMARY CARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
200 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366114 | Ayn Vincent Dejesus Bayani | Internal Medicine | 200 Fairview Park Dr, Suite B, Dublin, GA 31021-2547 | 2006-04-19 |
| 1689814626 | Lung Center of Dublin | Internal Medicine | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2009-03-04 |
| 1750536298 | Ashley Raye Spires | Physician Assistant | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2008-11-25 |
| 1043338502 | Heart of Georgia Urology Associates,llc | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2007-03-26 |
| 1598844862 | Noel Douglas Weigel | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952578338 | Central Ohio Urology Group LLC | Urology | 7405 Hospital Drive, Suite 350, Dublin, OH 43016 | 2008-05-14 |
| 1033172648 | Edward Elam Hayes | Urology | 2301 Bellevue Rd Ste 1000, Dublin, GA 31021-2557 | 2006-04-07 |
| 1659787430 | Christopher Murphy | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016-9687 | 2014-07-01 |
| 1134562630 | Robert Steven Gerhard | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016 | 2013-04-15 |
| 1023377736 | Paul Kogan | Urology | 7450 Hospital Dr Ste 300, Dublin, OH 43016-9687 | 2012-05-15 |
| 1952598518 | Simon Yoon Kimm | Urology | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2007-09-27 |
| 1043338502 | Heart of Georgia Urology Associates,llc | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2007-03-26 |
| 1831227123 | Francis Savarirayan | Urology | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-03-01 |
| 1598844862 | Noel Douglas Weigel | Urology | 200 Fairview Park Dr, Dublin, GA 31021-2547 | 2006-11-06 |
| 1972617819 | Glenn Jackson Bridges | Urology | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-08-18 |
| Find all providers in DUBLIN | ||||
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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.