DORTH G. FALLS (NPI# 1649380171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649380171 |
| Entity Type | Individual |
| Full Name | DORTH G. FALLS |
| Credential | MD |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2602 |
| Practice Telephone | 7067212771 |
| Practice Fax Number | 7067217781 |
| Mailing Telephone | 7068288401 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
026773 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000290848A | 05 | |
| SC | G04642 | 05 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023548211 | Diana Metry | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2017-06-19 |
| 1033555834 | Amanda Carina Barrett | Pathology | 1120 15th Street, Augusta, GA 30912-0004 | 2013-05-20 |
| 1609987379 | Farivar Yaghmai | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-31 |
| 1366552929 | John H. Crosby | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1073543575 | Paul W Biddinger | Pathology | 1120 15th St, Augusta, GA 30912 | 2006-07-03 |
| 1376521096 | Margarita K Kouzova | Pathology | 2260 Wrightsboro Rd, Augusta, GA 30904-4765 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184143893 | Jaroslava Halper | Pathology | 501 Dw Brooks Drive Department of Pathology, Athens, GA 30602-0001 | 2017-09-13 |
| 1588031942 | Robert Barnet Shibuya | Pathology | 1772 Johnson Rd Ne, Atlanta, GA 30306-3147 | 2015-09-01 |
| 1720463656 | Adrian Box | Pathology | 3085 Colonial Way Apt A, Chamblee, GA 30341-5332 | 2015-07-21 |
| 1518210426 | Charles Garrison | Pathology | 5904 Reddington Way, Sandy Springs, GA 30328-6224 | 2012-10-17 |
| 1992964886 | Lei Chen | Pathology | 1316 Orchard Park Dr, Stone Mountain, GA 30083-1235 | 2008-06-05 |
| 1417149048 | Thomas Lawrence Orourke | Pathology | 14250 Phillips Cir, Alpharetta, GA 30004-3470 | 2007-08-17 |
| 1104947555 | William J. Hardman IIi | Pathology | 110 Trinity Pl, Athens, GA 30607-2118 | 2007-04-03 |
| 1821180811 | Michelle D. Reid | Pathology | 550 Peachtree Street, Emory University Hospital Midtown, Department of Pathology, Davis Fischer Bldg, Room 1325, Atlanta, GA 30308-0004 | 2006-09-28 |
| 1003919531 | Laura E Michael | Pathology | 11390 Old Roswell Road, Suite 100, Alpharetta, GA 30009-2058 | 2006-09-07 |
| 1548218605 | Bruce H. Wainer | Pathology | 1841 Clifton Rd Ne, Room 208, Atlanta, GA 30329-4021 | 2006-05-04 |
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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.