DOUGLAS ABBATTISTA (NPI# 1528466117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528466117 |
| Entity Type | Individual |
| Full Name | DOUGLAS ABBATTISTA |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Mailing Address |
411 E 9th St Fort Stewart GA 31314-5036 |
| Practice Telephone | 9124356001 |
| Mailing Telephone | 2018205611 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E3038932 | Emergency Medical Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396104675 | George Vanderhoof | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-02-16 |
| 1528466042 | Michael Damien Skirkanich | Emergency Medical Technician, Basic | 411 E 9th St, Fort Stewart, GA 31314-5036 | 2014-12-16 |
| 1043618713 | Andrew Robert Schnabel | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-12-12 |
| 1013314525 | Thomas Gorman | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-26 |
| 1467859975 | Lana Martin | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-26 |
| 1376940049 | Bryan Reader | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-25 |
| 1356748040 | Eric Hale | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-25 |
| 1063818375 | Joshua Sisco | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-13 |
| 1659777365 | Robert Gossett | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-06 |
| 1245635176 | Cody Judkins | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-04 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on DOUGLAS ABBATTISTA.
| 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.