DR. ANDREW SHOEMAKER (NPI# 1669815296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669815296 |
| Entity Type | Individual |
| Full Name | DR. ANDREW SHOEMAKER |
| Credential | DMD |
| Practice Address |
1430 John Wesley Gilbert Dr Augusta GA 30912-0001 |
| Practice Telephone | 7067212716 |
| Mailing Telephone | 7067212716 |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN014603 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215355755 | Andrew Dean Shoemaker | Obstetrics & Gynecology | 281 N 12th St Ste F, Lehighton, PA 18235-1101 | 2014-04-02 |
| Street Address |
1430 JOHN WESLEY GILBERT DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801811245 | Nancy Beth Young | Dentist | 1430 John Wesley Gilbert Dr, Gc-3088, Augusta, GA 30912-0001 | 2006-07-13 |
| 1073112512 | Celine Joyce Cornelius Timothius | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2020-10-24 |
| 1326672437 | Luke Robert | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2020-02-27 |
| 1982237533 | Jessica R Anderson | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0150 | 2020-02-21 |
| 1992295646 | Fucong Tian | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0004 | 2018-05-17 |
| 1588189435 | Mohammed Bindakhil | Oral Medicinist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-6030 | 2017-08-11 |
| 1669995593 | Scarlet Beatriz Charmelo Silva | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912 | 2017-07-23 |
| 1033645171 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-05-11 |
| 1407387590 | William Lopez | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-03-21 |
| 1841733326 | Au Surgery Center | Clinic/Center | 1430 John Wesley Gilbert Dr, Gc1055, Augusta, GA 30912-0001 | 2016-12-01 |
| Find all providers in the same location | ||||
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198154 | Brittany Rose Waters | Dentist | 2070 Reserve Ln, Augusta, GA 30907-6215 | 2013-04-12 |
| 1366708653 | June Murakaru | Dentist | 1120 15th St # Gc-2133, Augusta, GA 30912-0004 | 2012-04-11 |
| 1922188085 | Phillip Hickson Miller | Dentist | 104 Kings Chapel Rd, Augusta, GA 30907-4001 | 2006-10-16 |
| 1699873786 | I Gary Katcoff | Dentist | 3559 Wheeler Road, Augusta, GA 30909 | 2006-09-20 |
| 1306868872 | Michael Milano | Dentist | 1430 John Wesley Gilbert Drive Au Dental Associates, Augusta, GA 30912-7450 | 2006-07-24 |
| 1982644142 | Andrew Durbin Chandler | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2006-06-07 |
| 1164490918 | Center for Pediatric Dentistry, PC | Dentist | 1243 Augusta West Pkwy, Augusta, GA 30909-1807 | 2006-03-09 |
| 1245879006 | Pediatric Dental Associates of Atlanta | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2019-12-26 |
| 1801433750 | Mainely Kids & Teens, LLC | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2019-12-10 |
| 1972851954 | Michael Lee Minyard | Dentist | 1120 15th St, Augusta, GA 30912-2960 | 2012-08-22 |
| Find all providers in AUGUSTA | ||||
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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.