MCDONOUGH PRIMARY CARE INC (NPI# 1710058953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710058953 |
| Entity Type | Organization |
| Organization Name | MCDONOUGH PRIMARY CARE INC |
| Other Organization Name | KEYS FERRY MEDICAL CENTER |
| Practice Address |
68 Hampton St Mcdonough GA 30253-3150 |
| Practice Telephone | 7709140342 |
| Practice Fax Number | 7709140493 |
| Mailing Telephone | 7709140342 |
| Mailing Fax Number | 7709140493 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | DR. WILLIAM HARRELL VAN LAAR (OWNER) |
| Authorized Official Telephone | 7709140342 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000458455E | 05 |
| Other Name | Type Code |
|---|---|
| Keys Ferry Medical Center | Other Name - Individual/Organization |
| Street Address |
68 HAMPTON ST |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205909439 | William Harrell Vanlaar | Family Medicine | 68 Hampton St, Mcdonough, GA 30253-3150 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679908503 | Kashif Ahmed Md LLC | Family Medicine | 336 Langshire Dr, Mcdonough, GA 30253-8055 | 2013-09-11 |
| 1699912113 | Reliance Family Care | Family Medicine | 345 Huntington Place Ct, Mcdonough, GA 30253-8651 | 2009-01-21 |
| 1356526305 | Heritage Medical Group, PC | Family Medicine | 1010 Pennsylvania Avenue, Heritage Medical Group, PC, Mcdonough, GA 30253 | 2008-01-08 |
| 1023227030 | Kashif Ahmed | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2007-05-22 |
| 1194809269 | Kevin Michael Kurey | Family Medicine | 101 Regency Park Drive, Suite 130, Mcdonough, GA 30253 | 2006-10-25 |
| 1710079850 | Eagles Landing Family Practice, LLC | Family Medicine | 649 Jonesboro Road, Mcdonough, GA 30253 | 2006-09-28 |
| 1902907207 | Eagles Landing Family Practice, LLC | Family Medicine | 62 Kelly Rd, Mcdonough, GA 30253-6012 | 2006-09-26 |
| 1013018811 | Eagles Landing Family Practice, LLC | Family Medicine | 2330 Patrick Henry Pkwy, Suite 200, Mcdonough, GA 30253-4220 | 2006-09-26 |
| 1922019850 | Walnut Creek Family Practice, P.C. | Family Medicine | 4303 Jodeco Rd, Mcdonough, GA 30253-8297 | 2006-08-09 |
| 1154330843 | George L Capo | Family Medicine | 80 Vinings Dr, Mcdonough, GA 30253-5994 | 2006-08-05 |
| Find all providers in MCDONOUGH | ||||
Please comment or provide details below to improve the information on MCDONOUGH PRIMARY CARE INC.
| 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.