JOHN BRUESHABER JR. (NPI# 1821418369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821418369 |
| Entity Type | Individual |
| Full Name | JOHN BRUESHABER JR. |
| Credential | NP-C |
| Practice Address |
3320 Old Jefferson Rd Bldg 700 Athens GA 30607-1400 |
| Practice Telephone | 7063532990 |
| Practice Fax Number | 7063534352 |
| Mailing Telephone | 7063532990 |
| Mailing Fax Number | 7063534352 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN204034 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3320 OLD JEFFERSON RD BLDG 700 |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856016 | Lindsey E. Strother | Pharmacist | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2005-07-26 |
| 1558712307 | Kristina Schultz Tanner | Nurse Practitioner | 3320 Old Jefferson Rd, Ste 700, Athens, GA 30607-1465 | 2016-06-23 |
| 1457725152 | Athens Neighborhood Health Center Inc | Clinic/Center | 3320 Old Jefferson Rd, Building 300, Athens, GA 30607 | 2015-11-18 |
| 1134501299 | Bela Amaral | Social Worker | 3320 Old Jefferson Rd, Bldg 700, Athens, GA 30607-1400 | 2015-06-25 |
| 1730573411 | Gina Powell | Pharmacist | 3320 Old Jefferson Rd, Building 700a, Athens, GA 30607-1400 | 2015-03-20 |
| 1578957221 | Katrina Head | Physician Assistant | 3320 Old Jefferson Rd, #400, Athens, GA 30607-1400 | 2015-03-20 |
| 1528451978 | Athens Regional University Cancer Center, LLC | Internal Medicine | 3320 Old Jefferson Rd, Building 700, Athens, GA 30607-1400 | 2015-03-10 |
| 1477801918 | Jamie Whitsel Williams | Nurse Practitioner | 3320 Old Jefferson Rd, Building 400, Athens, GA 30607-1400 | 2012-08-15 |
| 1417224015 | James A Parker Md PC | Plastic Surgery | 3320 Old Jefferson Rd, Bulding 100, Athens, GA 30607-1400 | 2011-11-27 |
| 1003110081 | Kayla Weaver | Physician Assistant | 3320 Old Jefferson Rd, Athens, GA 30607-1400 | 2011-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| Find all providers in zip 30607 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277754 | Delphine Sitsofe Ayivor | Clinical Nurse Specialist | 9264 Garrett Lake Dr, Midland, GA 31820-4446 | 2016-11-14 |
| 1235545617 | Home Physician Care of Northwest Georgia, LLC | Clinical Nurse Specialist | 1825 Mcentire Cir, Chatsworth, GA 30705-5945 | 2014-07-07 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1326372616 | Rita Karen Driver | Clinical Nurse Specialist | 4221 River Bottom Dr, Peachtree Corners, GA 30092-1377 | 2009-09-20 |
| 1609395110 | Lisa Marie Harris | Clinical Nurse Specialist | 100 S Madison St, Thomasville, GA 31792-5473 | 2017-09-15 |
| 1699169292 | Ruth Helen Sidor | Clinical Nurse Specialist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2015-03-23 |
| 1043633084 | Nanyoung Park | Clinical Nurse Specialist | 3590 Peachtree Industrial Blvd, Duluth, GA 30096-4817 | 2014-01-28 |
| 1740629443 | Betty Lou Yul Riner | Clinical Nurse Specialist | 1005 Boulder Dr, Gray, GA 31032 | 2013-06-17 |
| 1053673129 | Deon V Hutchison | Clinical Nurse Specialist | 777 Hemlock St, Msc 27, Macon, GA 31201-2102 | 2012-06-13 |
| 1508125808 | Minaz Khetani | Clinical Nurse Specialist | 35 Collier Rd Nw, Suite 775, Atlanta, GA 30309-1613 | 2012-05-08 |
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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.