LAKESIDE OB/GYN AND PELVIC SURGERY, LLC (NPI# 1720225410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225410 |
| Entity Type | Organization |
| Organization Name | LAKESIDE OB/GYN AND PELVIC SURGERY, LLC |
| Practice Address |
1498 Jesse Jewell Pkwy Se Suite D Gainesville GA 30501-3852 |
| Mailing Address |
Po Box 2994 Gainesville GA 30503-2994 |
| Practice Telephone | 6784504757 |
| Practice Fax Number | 6784504758 |
| Mailing Telephone | 6784504757 |
| Mailing Fax Number | 6784504758 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | REBECCA LYNN MASSEY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6784504757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
1498 JESSE JEWELL PKWY SE SUITE D |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093774424 | Margaret Ellen Watson | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se, Ste A, Gainesville, GA 30501-3874 | 2006-03-23 |
| 1639509672 | Teresa Rebakah Matthews | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3874 | 2013-11-12 |
| 1669750592 | Kelly Callahan Chase | Nurse Practitioner | 1498 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3874 | 2011-07-26 |
| 1629276159 | Jawad Ilyas | Internal Medicine | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3874 | 2007-07-05 |
| 1922204361 | Neurology Specialists of Georgia, P.C. | Clinic/Center | 1498 Jesse Jewell Pkwy Se, Suite A, Gainesville, GA 30501-3852 | 2007-06-22 |
| 1871537019 | Amy L Ledford | Midwife | 1498 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3874 | 2006-06-16 |
| 1457304339 | Sherry M Nored | Advanced Practice Midwife | 1498 Jesse Jewell Pkwy Se, Suite D, Gainesville, GA 30501-3874 | 2006-05-19 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932531068 | Danny Elliott Askew | Obstetrics & Gynecology | 1359 Springdale Rd, Gainesville, GA 30501-2447 | 2013-07-31 |
| 1528404910 | John W Browning II | Obstetrics & Gynecology | 873 Glenwood Dr, Gainesville, GA 30501-2311 | 2013-05-13 |
| 1417210477 | Kristen Nicole Scogin | Obstetrics & Gynecology | 6440 W Newberry Rd., Suite 111, Gainesville, FL 32605 | 2012-06-24 |
| 1578824967 | Kathryn Eleanor Patrick | Obstetrics & Gynecology | 6440 W Newberry Rd Ste 507, Gainesville, FL 32605-8302 | 2012-06-03 |
| 1932361953 | Jameela Lenora Harper | Obstetrics & Gynecology | 1315 Jesse Jewell Pkwy Ne Ste 200, Gainesville, GA 30501-3822 | 2008-07-01 |
| 1316159916 | Thomas Currier Md Pa | Obstetrics & Gynecology | 413 East Broadway, Gainesville, TX 76240 | 2007-05-04 |
| 1598895500 | Heritage Ob Gyn, PC | Obstetrics & Gynecology | 668 Lanier Park Dr, Gainesville, GA 30501-2061 | 2007-03-07 |
| 1063567675 | Kent Gerard Miller | Obstetrics & Gynecology | 2350 Limestone Parkway, Gainesville, GA 30501 | 2007-01-24 |
| 1619030731 | Michael J Lukowski & Associates | Obstetrics & Gynecology | 6640 W Newberry Rd Suite 201, Gainesville, FL 32605-4369 | 2006-12-19 |
| 1730248295 | Prince William Obgyn Associates, Ltd | Obstetrics & Gynecology | 7508 Gardner Park Dr, Gainesville, VA 20155-3414 | 2006-12-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on LAKESIDE OB/GYN AND PELVIC SURGERY, LLC.
| 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.