DR. ERIC DAVID HOLWEG (NPI# 1730670118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730670118 |
| Entity Type | Individual |
| Full Name | DR. ERIC DAVID HOLWEG |
| Credential | DO |
| Practice Address |
300 East Hospital Road Fort Gordon GA 30905 |
| Mailing Address |
300 W Hospital Rd Fort Gordon GA 30905-5741 |
| Practice Telephone | 7067875811 |
| Practice Fax Number | 7067871745 |
| Mailing Telephone | 7067876945 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2020009897 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 2020009897 | 05 |
| Street Address |
300 EAST HOSPITAL ROAD |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613665 | Joseph Melton Bird | Social Worker | 300 East Hospital Road, Room 13a-10, Fort Gordon, GA 30905-5650 | 2005-07-18 |
| 1023616224 | Vernon Thomas Traeder Sharp | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-10-12 |
| 1740894583 | Stephanie Marie Rice | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905 | 2020-08-31 |
| 1710590542 | Kenneth Blind | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-08-31 |
| 1467078519 | Joseph Nathaniel Stancampiano | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30509-5650 | 2020-06-24 |
| 1912523101 | Austin Keith Nokes | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-23 |
| 1992329940 | Eda Chen | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-05 |
| 1154945269 | Yiwei Jiao | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-04 |
| 1942824164 | Camille Lynn | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-03 |
| 1023632429 | Brandon Lee Myers | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| 1922326446 | Ian Ward | Internal Medicine | 300 W Hospital Rd Rm 5c-09, Fort Gordon, GA 30905-5741 | 2010-05-07 |
| 1902061138 | Gina Diane Kubicz | Internal Medicine | 300 W Hospital Road, Room 11c17, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2008-07-28 |
| 1790733517 | Shima Shaikh Syed | Internal Medicine | 300 W Hospital Road, Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-05-04 |
| 1922007467 | John Keenan Wilson | Internal Medicine | 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 | 2005-07-18 |
| 1609369578 | Andrew Jordan Mishler | Internal Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2018-06-14 |
| 1700300357 | Jordann Kokoski | Internal Medicine | 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-07-26 |
| 1043731193 | Daniel Alden Williams | Internal Medicine | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2017-06-29 |
| 1083141287 | Douglas Engle | Internal Medicine | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2017-05-18 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.