ROBERT O BEVERIDGE (NPI# 1538621453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538621453 |
| Entity Type | Individual |
| Full Name | ROBERT O BEVERIDGE |
| Credential | MD |
| Practice Address |
2336 Dawson Rd Ste 1500 Albany GA 31707-2802 |
| Mailing Address |
500 W 3rd Ave Ste 101 Albany GA 31701-1900 |
| Practice Telephone | 2293128800 |
| Practice Fax Number | 2293128895 |
| Mailing Telephone | 2293125802 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | GA | Student, Health Care |
| Street Address |
2336 DAWSON RD STE 1500 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669594222 | Phoebe Putney Memorial Hospital | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2442 | 2007-04-04 |
| 1174086110 | Aaron-nickolaos P Zervos | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-08 |
| 1700348547 | John C Carter | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-02 |
| 1972065712 | Ajay Jani | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-02 |
| 1356803191 | Patrick W Kobler | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-02 |
| 1780146704 | Christina Y Hall | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-01 |
| 1144782103 | Sorna T Kamara | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-01 |
| 1467914457 | Rodrigo Miguel P Maceda | Student in an Organized Health Care Education/Training Program | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2019-04-01 |
| 1174095095 | Julie A Muliford | Nurse Practitioner | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2018-12-18 |
| 1003339912 | Serena Miller | Family Medicine | 2336 Dawson Rd Ste 1500, Albany, GA 31707-2802 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1770196263 | Caroline De Bie | Student in an Organized Health Care Education/Training Program | 305 W End Way Apt 103, Albany, CA 94706-2558 | 2020-08-25 |
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1124648183 | Isis Marlene Topete | Student in an Organized Health Care Education/Training Program | 300 Gooding Way Apt 341, Albany, CA 94706-1950 | 2020-04-20 |
| 1851910632 | Dorneshia Thomas | Student in an Organized Health Care Education/Training Program | 2 Clara Barton Dr # Mc-164, Albany, NY 12208-3472 | 2020-04-13 |
| 1396374252 | Megala Sankrith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Surgery, Albany, NY 12208-3412 | 2020-04-03 |
| 1285263160 | Patrick Jia Huang | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopaedics, Albany, NY 12208-3412 | 2020-04-03 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1699303933 | Khushboo Khan | Student in an Organized Health Care Education/Training Program | 52 Schoolhouse Rd, Albany, NY 12203-3850 | 2020-03-31 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| Find all providers in ALBANY | ||||
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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.