ANGELITO HENRITO K JAO MD PC (NPI# 1548252125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548252125 |
| Entity Type | Organization |
| Organization Name | ANGELITO HENRITO K JAO MD PC |
| Practice Address |
333 Alcovy St Ste 3 Monroe GA 30655-2180 |
| Mailing Address |
Po Box 1089 Monroe GA 30655-1089 |
| Practice Telephone | 7702674711 |
| Practice Fax Number | 7702677320 |
| Mailing Telephone | 7702674711 |
| Mailing Fax Number | 7702677320 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. ANGELITO HENRITO K JAO (PRESIDENT) |
| Authorized Official Telephone | 7702674711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 029685 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS/BLUE SHIELD | 52237698001 | 01 |
| GA | 00349027A | 05 | |
| SOUTHCARE | 905606 | 01 |
| Street Address |
333 ALCOVY ST STE 3 |
| City | MONROE |
| State | GA |
| Zip Code | 30655-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878469 | Angelito Henrito K. Jao | Internal Medicine | 333 Alcovy St, Ste 3, Monroe, GA 30655-2180 | 2005-08-18 |
| 1104141837 | Excellent Pediatrics | Clinic/Center | 333 Alcovy St, Suite 5, Monroe, GA 30655-2180 | 2010-04-06 |
| 1912194960 | Mark Paul Macachor Visitacion | Internal Medicine | 333 Alcovy St, Suite 8, Monroe, GA 30655-2180 | 2007-10-03 |
| 1932232790 | Marilyn Digamon Beltran | Legal Medicine | 333 Alcovy St, Ste 8, Monroe, GA 30655-2180 | 2007-03-13 |
| 1972636710 | Northeast Internal Medicine, P.C. | Internal Medicine | 333 Alcovy St, Suite 8, Monroe, GA 30655-2180 | 2007-03-13 |
| 1972524270 | Wayne G Hulsey | Radiology | 333 Alcovy St, Suite 9, Monroe, GA 30655-2180 | 2006-07-21 |
| 1558397455 | Judith D Delima | Pediatrics | 333 Alcovy St, Suite 10, Monroe, GA 30655-2180 | 2006-06-23 |
| 1043203227 | Roger Leon Morales | Pediatrics | 333 Alcovy St, Suite 1, Monroe, GA 30655-2180 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
| 1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
| 1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
| 1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
| 1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
| Find all providers in zip 30655 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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|---|---|---|---|---|
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1265804181 | Cor Medical LLC | Internal Medicine | 100 Centurylink Dr, Mailstop La00010100-153, Monroe, LA 71203-2041 | 2015-10-30 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| 1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
| 1679870612 | Lawson Medical Management Services, LLC | Internal Medicine | 127 E Shore Rd, Monroe, LA 71203-8857 | 2011-02-25 |
| 1851520910 | Samih Mawari | Internal Medicine | 1084 N Monroe St, Monroe, MI 48162-3193 | 2009-07-10 |
| 1477787786 | Jan Eberly Erlandson | Internal Medicine | 2630 20th Ave, Monroe, WI 53566-3616 | 2009-05-14 |
| 1578724886 | Amar Mohan | Internal Medicine | 704 Breedlove Dr, Ste A, Monroe, GA 30655-2054 | 2008-06-19 |
| 1386803971 | Rolandponarskiatprofessionalcorporation | Internal Medicine | 487 Rowland Dr, Monroe, LA 71203-8545 | 2008-06-09 |
| Find all providers in MONROE | ||||
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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.