IVAN MORALES


Address: 1120 15th St, Augusta, GA 30912-0004
Phone: 7067212273

IVAN MORALES (NPI# 1689167264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689167264
Entity Type Individual
Full Name IVAN MORALES
Credential MD
Practice Address 1120 15th St
Augusta
GA 30912-0004
Practice Telephone 7067212273
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
010065 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275579112 Charles Rex Teeslink Radiology 2634 Henry St, Augusta, GA 30904-4656 2006-06-21
1255321915 Anthony Dhiantie Goei Radiology 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 2005-10-25
1942836580 David H. Riggans, Md PC Radiology 3651 Wheeler Rd, Augusta, GA 30909-6521 2020-03-16
1134412331 Fresenius Vascular Care Augusta, LLC Radiology 630 13th St, Suite 250, Augusta, GA 30901-1015 2011-05-20
1073834131 University Health Care Physicians LLC Radiology 1350 Walton Way, Augusta, GA 30901-2612 2010-06-11
1275737918 Matthew David Givens Radiology 1350 Walton Way, Augusta, GA 30901-2612 2007-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225675812 Kare Asc, LLC Radiology 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 2019-12-03
1710541990 Vascular Atlanta Inc Radiology 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 2019-04-23
1063903078 South Atlanta Vascular Institute, LLC Radiology 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 2018-05-24
1780184218 Preferred Vascular Services Northeast Radiology 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 2018-02-21
1417229741 Northeast Atlanta Vascular Care, LLC Radiology 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 2012-02-01
1932479813 Peter Sones Radiology 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 2012-01-09
1134407158 Columbus Vascular Center, LLC Radiology 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 2011-07-25
1114242930 Alkesh Ashwinkumar Amin Radiology Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 2010-04-05
1144543877 Kuraoka Clinic Radiology 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 2010-03-09
1447415393 Vascular Access Center of Warner Robins LLC Radiology 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 2008-07-21
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Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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