DR. TONI O'REGGIO EGOLUM (NPI# 1659697662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659697662 |
| Entity Type | Individual |
| Full Name | DR. TONI O'REGGIO EGOLUM |
| Other Name | DR. TONI ROCHELLE O'REGGIO |
| Credential | M.D. |
| Practice Address |
1485 Jesse Jewell Pkwy Ne Ste 200 Gainesville GA 30501-3802 |
| Practice Telephone | 7705345255 |
| Practice Fax Number | 7702873871 |
| Mailing Telephone | 7705345255 |
| Mailing Fax Number | 7702873871 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 79512 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 49746 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 648 Hartsville Pike, Gallatin, TN 370662523 | 6154519246 | 6155755040 |
| Street Address |
1485 JESSE JEWELL PKWY NE STE 200 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307314 | Lauren Gooch | Nurse Practitioner | 1485 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3802 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077291 | Sonja Ann Rasmussen | Pediatrics | Shands Hospital 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2018-03-19 |
| 1346652278 | Elahe Meryl Shychuk | Pediatrics | 1600 Sw Archer Rd # B100296, Gainesville, FL 32610-3003 | 2014-05-27 |
| 1760829147 | Robert Daniel Smith II | Pediatrics | 610 Nw 34th Ter, Gainesville, FL 32607-2434 | 2013-05-27 |
| 1871847608 | Apisadaporn Thambundit | Pediatrics | 1600 Sw Archer Rd Rm Hd513, Gainesville, FL 32610-3003 | 2012-10-31 |
| 1285982082 | Zachary Gohsman | Pediatrics | 1699 Sw 16th Ave Bldg A, Gainesville, FL 32608-1158 | 2012-08-27 |
| 1609133982 | Karen Martinez | Pediatrics | 1600 Sw Archer Rd Box 100296 Rm Hd513, Gainesville, FL 32610-0001 | 2012-04-11 |
| 1376809491 | Dr. Rosi Pediatrics, LLC | Pediatrics | 2131 Nw 40th Ter, Suite A, Gainesville, FL 32605-3599 | 2012-04-03 |
| 1699059634 | Thomas M Zavelson | Pediatrics | 4316 Nw 38th St, Gainesville, FL 32606-4534 | 2011-10-10 |
| 1659663243 | Vaidehi Archit Shah | Pediatrics | 7474 Limestone Dr, Gainesville, VA 20155-4007 | 2011-05-14 |
| 1073833265 | Varachati Soodjinda | Pediatrics | 592 Medical Park Dr, Suite A, Gainesville, GA 30501-2055 | 2010-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.