MS. ANDREA BYRD DOAK (NPI# 1760420202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760420202 |
Entity Type | Individual |
Full Name | MS. ANDREA BYRD DOAK |
Credential | PAC |
Practice Address |
1067 Peachtree St Louisville GA 30434 |
Mailing Address |
1067 Peachtree St Louisville GA 30434-1558 |
Practice Telephone | 4786258471 |
Practice Fax Number | 4786258477 |
Mailing Telephone | 4786258471 |
Mailing Fax Number | 4786258477 |
Enumeration Date | 2006-06-04 |
Last Update Date | 2018-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002743 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 100000139A | 05 | |
GA | 100000140A | 05 | |
GA | 100000139C | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3686 Wheeler Rd, Augusta, GA 309096520 | 7069226300 | 7069226303 |
Street Address |
1067 PEACHTREE ST |
City | LOUISVILLE |
State | GA |
Zip Code | 30434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417554437 | Hospital Authority of Jefferson County and The City of Louisville | General Acute Care Hospital | 1067 Peachtree St, Louisville, GA 30434-1558 | 2020-10-02 |
1699140079 | Catherine Mary Russell | Physical Therapy Assistant | 1067 Peachtree St, Louisville, GA 30434-1558 | 2015-12-10 |
1457726861 | Brooke Taylor Morris | Occupational Therapy Assistant | 1067 Peachtree St, Louisville, GA 30434-1558 | 2015-12-10 |
1588096366 | Hospital Authority of Jefferson County and The City of Louisville | Emergency Medicine | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-08-05 |
1467884593 | Erin Grace Nobles | Nurse Practitioner | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-07-31 |
1265875298 | Rhonda Hall Strickland | Physical Therapist | 1067 Peachtree St, Louisville, GA 30434-1558 | 2013-04-09 |
1043571706 | Nina Ashlee Weeks-arrington | Occupational Therapist | 1067 Peachtree St, Louisville, GA 30434-1558 | 2012-05-30 |
1245590793 | Samuel George Franklin | Internal Medicine | 1067 Peachtree St, Louisville, GA 30434-1599 | 2012-05-17 |
1811153588 | Ogeechee Valley Emergency Physicians | Emergency Medicine | 1067 Peachtree St, Louisville, GA 30434-1558 | 2008-08-01 |
1922167576 | Suzanne J. Higgins | Nurse Anesthetist, Certified Registered | 1067 Peachtree St, Louisville, GA 30434-1558 | 2006-12-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255503934 | Tonya M Gunby Dmd PC | Dentist | 502 Screven Street, Louisville, GA 30434 | 2008-04-02 |
1023187564 | Bobbie W. Jones | Registered Nurse | 2501 Hwy 1 N, Louisville, GA 30434 | 2006-11-07 |
1083797898 | Catherine Cates Rabun | Registered Nurse | 2501 U. S. Hwy 1 N, Louisville, GA 30434 | 2006-10-23 |
1659461028 | Shirlee T. Johnson | Registered Nurse | 2501highway 1 N, Louisville, GA 30434 | 2006-10-13 |
1033209572 | Janet Raines Pilcher | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-13 |
1205889623 | Jefferson County Board of Health | Public Health or Welfare | 2501 U.S. Highway # 1 North, Louisville, GA 30434 | 2006-05-18 |
1467631648 | Kimberly J Clarkbrake | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2007-10-24 |
1114003241 | Mary Ellen Chalker | Registered Nurse | 2501 Highway One North, Louisville, GA 30434 | 2006-10-31 |
1376787499 | Positive Choice...a Step In The Right Direction | Community/Behavioral Health | 480 Forrest Dr, Louisville, GA 30434-1348 | 2009-04-21 |
1255623385 | The Louisville Project, LLC | Durable Medical Equipment & Medical Supplies | 819 Peachtree St, Louisville, GA 30434-1449 | 2011-05-09 |
Find all providers in zip 30434 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
1750749362 | Erin Mary Quinn | Physician Assistant | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2016-02-10 |
1043465164 | Myron Jeffrey Hardesty | Physician Assistant | 7505 New Lagrange Road, Louisville, KY 40222 | 2008-11-18 |
1992966279 | Sharin Lynn Berger | Physician Assistant | 928 Treece St, Louisville, CO 80027-8511 | 2008-06-19 |
1528112166 | Wendy M Warren | Physician Assistant | 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207-4724 | 2007-01-22 |
1942245253 | Connie Ann Melton | Physician Assistant | 1025 S 2nd St, Louisville, KY 40203-2823 | 2006-06-19 |
1588604896 | Community Ear Nose Throat & Allergy,pllc | Physician Assistant | 4950 Norton Healthcare Blvd., Suite 209, Louisville, KY 40241 | 2006-06-07 |
1154388148 | Marilyn Ann Gandolph | Physician Assistant | 325 W S Boulder Rd Ste 101, Louisville, CO 80027-1130 | 2006-04-26 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 30434 |
Please comment or provide details below to improve the information on MS. ANDREA BYRD DOAK.
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.