ROY GOLDBLATT (NPI# 1720064595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720064595 |
| Entity Type | Individual |
| Full Name | ROY GOLDBLATT |
| Credential | MD |
| Practice Address |
5126 Hospital Dr Ne Covington GA 30014-2566 |
| Mailing Address |
Po Box 5779 Athens GA 30604-5779 |
| Practice Telephone | 8005326151 |
| Mailing Telephone | 7063100381 |
| Mailing Fax Number | 7063100390 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 31005 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000409901N | 05 |
| Street Address |
5126 HOSPITAL DR NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196682 | Daniel T Riley | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2005-07-07 |
| 1306445069 | Marlee Malcom | Registered Nurse | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2020-10-22 |
| 1487292694 | Stella Royette Thomas | Registered Nurse | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-12-18 |
| 1013550177 | Anish Joseph | Anesthesiologist Assistant | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-10-22 |
| 1255891958 | Piedmont Newton Ekg Billing LLC | General Acute Care Hospital | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-03-20 |
| 1538639851 | Mary Kathryn Ward | Nurse Practitioner | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2018-11-29 |
| 1063981082 | Jamie Michelle Huff | Nurse Practitioner | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2018-11-20 |
| 1174065411 | Jace John Crawford | Physician Assistant | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-11-16 |
| 1013360932 | Hoda Daher | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-07-15 |
| 1063864445 | Sakina Peregrino-brimah | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831407394 | Gameel Gabriel | Emergency Medicine | 118 Pine Dr, Covington, LA 70433-4830 | 2010-09-18 |
| 1063726206 | Shaun Xiao | Emergency Medicine | 1203 S Tyler St Ste 220, Covington, LA 70433 | 2010-07-29 |
| 1316147119 | Kevin Dale Chiasson | Emergency Medicine | 17438 Hard Hat Dr, Covington, LA 70435-5630 | 2007-07-19 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1609924919 | Marcus L. Pittman, IIi | Emergency Medicine | 307 S Jefferson Ave, Covington, LA 70433-3135 | 2007-01-05 |
| 1437257854 | Joseph George Pastorek II | Emergency Medicine | 609 E Gibson St, Suite A, Covington, LA 70433-2980 | 2006-09-20 |
| 1568485316 | James L Evans | Emergency Medicine | 200 W Pike St, Covington, KY 41011-2370 | 2006-07-25 |
| 1265459291 | Ingrid T Labat | Emergency Medicine | 1202 S Tyler Street, Emergency Room, Covington, LA 70433 | 2006-07-16 |
| 1598712135 | Clayton Justus Overton IIi | Emergency Medicine | 23 Claudia Dr, Covington, LA 70435-9513 | 2006-05-28 |
| 1316998941 | Peter Phan | Emergency Medicine | 73153 Military Rd, Covington, LA 70435-6054 | 2006-05-16 |
| Find all providers in COVINGTON | ||||
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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.