JOSE A. VAZQUEZ (NPI# 1518035054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518035054 |
| Entity Type | Individual |
| Full Name | JOSE A. VAZQUEZ |
| Credential | M.D. |
| Practice Address |
1120 15th Street Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Augusta GA 30901-2603 |
| Practice Telephone | 7067246100 |
| Mailing Telephone | 7067246100 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301053567 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
4301053567 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 450327810 | 05 | |
| BLUE CROSS-BLUE CROSS | 440Q263940 | 01 | |
| GA | 003141369A | 05 | |
| GA | BCBS OF GEORGIA | 52609049 001 | 01 |
| CHAMPUS-CHAMPUS | JV053567 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | JV053567 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195685 | Jose F Vazquez | Behavior Technician | 1200 Rock Blvd Ste 3, Sparks, NV 89431-0956 | 2017-10-18 |
| 1245687870 | Jose Vazquez | Behavior Technician | 8150 Sw 8 St, Suite 201, Miami, FL 33144-4263 | 2016-05-24 |
| 1750587291 | Jose L Vazquez | Counselor | 225 N Maple Ave, Montebello, CA 90640-4034 | 2007-06-22 |
| 1396766952 | Jose Victor Vazquez | General Practice | 6410 Ave Isla Verde, Suite Number 3, Carolina, PR 00979-7166 | 2006-07-21 |
| 1134147549 | Jose A Vazquez | Internal Medicine | 2790 Pharmacy Rd, Rio Grande City, TX 78582-6546 | 2006-07-17 |
| 1710500673 | Jose A Vazquez | Behavior Technician | 330 Grove St, Worcester, MA 01605-3909 | 2020-05-26 |
| 1275000341 | Jose Lus Vazquez | Respiratory Therapist, Registered | 1515 N Vermont Ave, Los Angeles, CA 90027-5329 | 2018-10-26 |
| 1457897712 | Jose Vazquez | Behavioral Analyst | 8150 Sw 8th St, Suite 201, Miami, FL 33144-4263 | 2017-01-11 |
| 1518402890 | Jose Manuel Vazquez | Registered Nurse | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2016-12-22 |
| 1235454281 | Jose Javier Vazquez | Psychiatry & Neurology | 7808 Clodus Fields Dr, Dallas, TX 75251-2206 | 2010-04-01 |
| Street Address |
1120 15TH STREET |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
| 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 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376168468 | Gina Askar | Internal Medicine | 1399 Walton Way Apt 203, Augusta, GA 30901-2683 | 2020-06-15 |
| 1194015032 | Francisco J Hernandez Munoz | Internal Medicine | 820 Saint Sebastian Way Ste 7c, Augusta, GA 30901-2641 | 2011-04-12 |
| 1063544062 | Stephanie Leigh Baer | Internal Medicine | 1 Freedom Way # 235, Augusta, GA 30904-6258 | 2007-03-12 |
| 1740357425 | Kepler Austin Davis | Internal Medicine | 2050 Walton Way Ste 101, Augusta, GA 30904-4163 | 2006-11-29 |
| 1669464681 | Ravi Kumar Kamepalli | Internal Medicine | 462 Furys Ferry Rd, Augusta, GA 30907-9506 | 2005-08-16 |
| 1437158979 | Mark Hofstetter | Internal Medicine | 1224 Augusta West Pkwy, Augusta, GA 30909-6582 | 2005-07-18 |
| 1093101883 | Sarah Yen Tran | Internal Medicine | 1120 15th St, Augusta, GA 30912-3201 | 2015-04-08 |
| 1174937858 | Folake J Lawal | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2014-06-20 |
| 1548698384 | Epic Health LLC | Internal Medicine | 811 13th St, Suite 10, Augusta, GA 30901-2700 | 2013-10-14 |
| 1366876922 | Dwarikesh, LLC | Internal Medicine | 1224 Augusta West Pkwy, Augusta, GA 30909-6582 | 2013-08-30 |
| Find all providers in AUGUSTA | ||||
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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.