DR.SOOS PEDIATRICS, PC (NPI# 1851676589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851676589 |
| Entity Type | Organization |
| Organization Name | DR.SOOS PEDIATRICS, PC |
| Practice Address |
102 Bowling Ln Dublin GA 31021-2502 |
| Practice Telephone | 4782720203 |
| Practice Fax Number | 4782720223 |
| Mailing Telephone | 4782720203 |
| Mailing Fax Number | 4782720223 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | MISS MALLORY LEE (BILLING/CREDENTIALING) |
| Authorized Official Telephone | 4782720203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
102 BOWLING LN |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915529 | Amber Price | Nurse Practitioner | 102 Bowling Ln, Dublin, GA 31021-2502 | 2006-05-04 |
| 1952895849 | Aimee Mullis Lowery | Nurse Practitioner | 102 Bowling Ln, Dublin, GA 31021-2502 | 2018-06-14 |
| 1396129813 | Jennifer Cox | Nurse Practitioner | 102 Bowling Ln, Dublin, GA 31021-2502 | 2015-07-14 |
| 1285039396 | Renah Jeremi Hightower | Physician Assistant | 102 Bowling Ln, Dublin, GA 31021-2502 | 2014-10-31 |
| 1972880995 | The After Owls Pediatric Care,llc | Pediatrics | 102 Bowling Ln, Dublin, GA 31021-2502 | 2011-11-04 |
| 1457633737 | Laura Stembridge Oliver | Physician Assistant | 102 Bowling Ln, Dublin, GA 31021-2502 | 2011-09-13 |
| 1952637944 | Jessica Mullis Lamb | Nurse Practitioner | 102 Bowling Ln, Dublin, GA 31021-2502 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1912392135 | Theodore Chou | Pediatrics | 4050 Dublin Blvd Fl 1, Dublin, CA 94568 | 2015-04-03 |
| 1730332503 | Ilona Brener Albrecht | Pediatrics | 4335 W. Dublin-granville Rd., Dublin, OH 43017 | 2008-10-24 |
| 1710167473 | Drew Moorman | Pediatrics | 104 Fairview Park Dr Ste 200, Dublin, GA 31021 | 2007-11-10 |
| 1639236102 | Rivers Edge Pediatrics Inc | Pediatrics | 100 N High Street, Suite A, Dublin, OH 43017 | 2007-01-03 |
| 1639234073 | Michael Carl Loar | Pediatrics | 5110 Blazer Pkwy, Dublin, OH 43017-1339 | 2006-12-26 |
| 1154483089 | Charles Michael Goddard II | Pediatrics | 7275 Sawmill Road, Northwest Pediatrics, Inc., Dublin, OH 43016 | 2006-12-15 |
| 1184721094 | Surendranath Kavuri | Pediatrics | 112 Rowe Street, Dublin, GA 31021 | 2006-09-20 |
| 1851498398 | Childrens Choice, P.C. | Pediatrics | 5562 Cougar Trail Road, Dublin, VA 24084 | 2006-09-19 |
| 1033228226 | Northwest Pediatrics, Inc. | Pediatrics | 7275 Sawmill Rd, Dublin, OH 43016-9021 | 2006-08-30 |
| 1679584726 | Kannan Vaidyanathan | Pediatrics | 112 Rowe St, Dublin, GA 31021 | 2006-08-11 |
| Find all providers in DUBLIN | ||||
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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.