HETAL P THAKORE (NPI# 1821184540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821184540 |
| Entity Type | Individual |
| Full Name | HETAL P THAKORE |
| Credential | MD |
| Practice Address |
811 13th Street Suite 10 Augusta GA 30901 |
| Practice Telephone | 7064341590 |
| Practice Fax Number | 8032796001 |
| Mailing Telephone | 7064341590 |
| Mailing Fax Number | 8032796001 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 053556 | GA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 053556 | GA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 053556 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS OF GA | 52058546-003 | 01 |
| SC | G53556 | 05 | |
| GA | 442892357D | 05 |
| Street Address |
811 13TH STREET SUITE 10 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386954923 | Mona Shums | Physician Assistant | 811 13th Street, Suite 10, Augusta, GA 30901 | 2010-10-18 |
| 1114237799 | Dennis Essic Jones IIi | Physician Assistant | 811 13th Street, Suite 10, Augusta, GA 30901 | 2010-10-15 |
| 1497088603 | Kristen Danielle Rasmussen | Physician Assistant | 811 13th Street, Suite 10, Augusta, GA 30901 | 2009-09-08 |
| 1205078623 | Medex Associates, LLC | Internal Medicine | 811 13th Street, Suite 10, Augusta, GA 30901 | 2009-03-31 |
| 1689835746 | Swapna Velamakanni | Internal Medicine | 811 13th Street, Suite 10, Augusta, GA 30901 | 2008-06-21 |
| 1972612190 | Jack H Austin Jr. | Internal Medicine | 811 13th Street, Suite 10, Augusta, GA 30901 | 2006-08-30 |
| 1134239882 | Brian A. Catto | Internal Medicine | 811 13th Street, Suite 10, Augusta, GA 30901-2771 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| 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 |
|---|---|---|---|---|
| 1598380842 | David Reynolds Cromer | Internal Medicine | 528 Walden Hills Ct, Augusta, GA 30909-0225 | 2020-06-12 |
| 1114542305 | Graham Skelton | Internal Medicine | 1480 Wrightsboro Rd Apt 6104, Augusta, GA 30901-3274 | 2020-06-12 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1467015628 | Adam Nikolas Davis | Internal Medicine | 1120 5th St, Augusta, GA 30912-0001 | 2019-04-15 |
| 1528621661 | Chadwick Scott Fitzgerald | Internal Medicine | 1459 Laney Walker Blvd Ste Ae3042, Augusta, GA 30912-0002 | 2019-04-15 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1326501560 | Awlad Hossain Bhuiyan | Internal Medicine | 120 15th St, Augusta, GA 30912-0001 | 2019-04-12 |
| 1033601315 | Mohammad Umair Azam | Internal Medicine | 1120 15th St # Bi5070, Augusta, GA 30912-0004 | 2018-06-03 |
| 1942732334 | Jennifer Espinal | Internal Medicine | 3651 Wheeler Rd Ofc, Augusta, GA 30909-6521 | 2017-04-03 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on HETAL P THAKORE.
| 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.