OLENA VANWONTERGHEM (NPI# 1740692813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740692813 |
| Entity Type | Individual |
| Full Name | OLENA VANWONTERGHEM |
| Practice Address |
15 Baynard Park Newnan GA 30265-6413 |
| Mailing Address |
304 Calgary Dr Peachtree City GA 30269-2747 |
| Practice Telephone | 7702515253 |
| Mailing Telephone | 5863506839 |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 77323 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
15 BAYNARD PARK |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265259 | Fred A Tega | Pediatrics | 15 Baynard Park, Newnan, GA 30265-6413 | 2006-05-24 |
| 1659846111 | Abby Hannah Perez | Nurse Practitioner | 15 Baynard Park, Newnan, GA 30265-6413 | 2018-10-10 |
| 1396905907 | Primecare Pediatrics, P.C. | Pediatrics | 15 Baynard Park, Newnan, GA 30265 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932373420 | Elizabeth Kinta Watkins | Pediatrics | 1111 Bullsboro Dr Ste 6-7, Newnan, GA 30265-2182 | 2008-04-16 |
| 1073560959 | Regina P Justice | Pediatrics | 2462 Highway 34 East, Suite A, Newnan, GA 30265 | 2006-05-27 |
| 1043265259 | Fred A Tega | Pediatrics | 15 Baynard Park, Newnan, GA 30265-6413 | 2006-05-24 |
| 1497714257 | Jill B Dickerson | Pediatrics | 10 Market Square Way Ste 100, Newnan, GA 30265-6078 | 2006-03-21 |
| 1891779096 | Lewis W. Jackson | Pediatrics | 2959 Sharpsburg Mccollum Rd, Newnan, GA 30265-2297 | 2005-12-01 |
| 1770566952 | J. Edwyn Carter | Pediatrics | 189 Jefferson Pkwy, Newnan, GA 30263-5823 | 2005-11-22 |
| 1538686613 | Childrens Clinic LLC | Pediatrics | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2017-08-29 |
| 1134644743 | Shannon Leigh Boles | Pediatrics | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2017-08-04 |
| 1568826253 | Michelle Payne | Pediatrics | 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265-2297 | 2016-04-08 |
| 1992127856 | Pediatric Associates of Newnan P.C. | Pediatrics | 775 Poplar Rd, Suite 150, Newnan, GA 30265-8300 | 2014-01-13 |
| Find all providers in NEWNAN | ||||
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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.