WEST AUGUSTA SURGICAL ASSOCIATES (NPI# 1851580575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851580575 |
Entity Type | Organization |
Organization Name | WEST AUGUSTA SURGICAL ASSOCIATES |
Practice Address |
2320 Wrightsboro Rd Augusta GA 30904-6233 |
Practice Telephone | 7067377922 |
Practice Fax Number | 7067377968 |
Mailing Telephone | 7067377922 |
Mailing Fax Number | 7067377968 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |
Authorized Official Name | HOWARD STALLINGS (ADMINISTRATOR) |
Authorized Official Telephone | 7067377922 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
13372 | SC | Allopathic & Osteopathic Physicians |
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
029298 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00349907B | 05 | |
SC | GP3922 | 05 |
Street Address |
2320 WRIGHTSBORO RD |
City | AUGUSTA |
State | GA |
Zip Code | 30904-6233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083211502 | Grays Group, LLC | Counselor | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2020-10-07 |
1619372398 | Kmc Surgical LLC | Specialist | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2014-10-24 |
1497159321 | Rds Surgical LLC | Specialist | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2014-10-21 |
1285963447 | Samana Zulu Md Facs LLC | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2009-12-17 |
1063749299 | Csra General and Oncology Surgical LLC | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2009-11-09 |
1578571758 | Roosevelt J Stallings | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093924409 | Taranjit Kaur Arora | Surgery | 1120 15th St Ste Bi1056, Augusta, GA 30912-0001 | 2007-05-22 |
1063749299 | Csra General and Oncology Surgical LLC | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2009-11-09 |
1093927113 | Matthew Salvatore Pugliese | Surgery | 818 St Sebastian Way, Ste 104, Augusta, GA 30901 | 2007-05-03 |
1346386364 | Karen A Yeh, M.d., LLC | Surgery | 2258 Wrightsboro Rd, Suite 430, Augusta, GA 30904-4887 | 2007-01-29 |
1396846564 | Daniel Albo | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-09-26 |
1578571758 | Roosevelt J Stallings | Surgery | 2320 Wrightsboro Rd, Augusta, GA 30904-6233 | 2006-08-04 |
1093746984 | Edward J. Kruse | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750540233 | Shishir Kumar Maithel | Surgery | 101w Ponce De Leon Ave, Decatur, GA 30030-2528 | 2008-06-09 |
1942498050 | The Breast Care Team, PC | Surgery | 130 Riverstone Ter, Suite 101, Canton, GA 30114-1702 | 2007-10-15 |
1902003684 | Nicole Kounalakis | Surgery | 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 | 2007-06-27 |
1457401630 | Anita Johnson | Surgery | 120 N Medical Pkwy Bldg 100, Suite 201, Woodstock, GA 30189-7062 | 2007-01-11 |
1780746289 | Cletus Anthony Arciero | Surgery | 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 | 2006-12-14 |
1023103165 | Cancer Care Pavilion Inc | Surgery | 225 Candler Dr., Ste 224, Savannah, GA 31405 | 2006-10-04 |
1083634067 | William Wood | Surgery | 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-07-20 |
1215932041 | Arnold Michael Conforti | Surgery | 800 1st St Ste 240, Macon, GA 31201-8300 | 2005-06-17 |
1497364749 | Bariatric and Minimally Invasive Surgical Institute | Surgery | 1105 Upper Hembree Rd Ste A, Roswell, GA 30076-0912 | 2020-07-23 |
1508144981 | Provident Health Surgical Associates | Surgery | 4700 Waters Ave, Suite 403, Savannah, GA 31404-6220 | 2011-08-02 |
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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.