MR. GEORGE ROGER VAILLANT (NPI# 1942411038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942411038 |
| Entity Type | Individual |
| Full Name | MR. GEORGE ROGER VAILLANT |
| Credential | PA-C |
| Practice Address |
119 Steele Creek Dr Midland GA 31820-4597 |
| Practice Telephone | 7065449426 |
| Mailing Telephone | 7065449426 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002272 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003882267 | George E Vaillant | Psychiatry & Neurology | 1249 Boylston St, 3rd Floor, Boston, MA 02215-3410 | 2006-02-27 |
| Street Address |
119 STEELE CREEK DR |
| City | MIDLAND |
| State | GA |
| Zip Code | 31820-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760791115 | Myra Josefsberg | Counselor | 7297 East Wynfield Loop, Midland, GA 31820 | 2010-10-04 |
| 1447472014 | Kelli Marie Wright | Registered Nurse | 9067 Veterans Parkway, Midland, GA 31820 | 2007-05-03 |
| 1538580659 | Elvis Greene | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2013-12-16 |
| 1841343381 | New Horizons Csb Alchemy | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2007-01-19 |
| 1700413861 | Joey Bedell | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2020-03-26 |
| 1902362361 | Cassandra Jane Holdcroft | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2019-02-11 |
| 1316412778 | Orciola Jessie | Case Manager/Care Coordinator | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2018-10-11 |
| 1376055731 | Willie Jones | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2017-10-25 |
| 1952845257 | Kelcey Mccray | Community Health Worker | 9021 Veterans Pkwy, Midland, GA 31820-3411 | 2016-12-06 |
| 1861850950 | Margaret Mccall | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2016-02-03 |
| Find all providers in zip 31820 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1790251031 | Valarie Ramirez Alcala | Physician Assistant | 3400 Andrews Hwy, Midland, TX 79703-5100 | 2018-10-14 |
| 1487136537 | Heather Zamarron | Physician Assistant | 4400 N Midland Dr Ste 406b, Midland, TX 79707-3388 | 2018-09-05 |
| 1003214511 | Laura Sonnenburg | Physician Assistant | 4214 Andrews Hwy Ste 306, Midland, TX 79703-4870 | 2014-12-15 |
| 1437356730 | Johnny Lynn Flitton | Physician Assistant | 3401 Greenbriar, Suite 200, Midland, TX 79707-4652 | 2007-06-29 |
| 1629139555 | Julie M. Davidson | Physician Assistant | 122 North N Street, Midland, TX 79701-6409 | 2006-12-13 |
| 1902994999 | Meredith Leigh Letzer | Physician Assistant | 4500 N Campus Ridge Dr, Midland, MI 48640-6123 | 2006-10-11 |
| 1538171616 | Midland Complete Family Care and Associates | Physician Assistant | 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 | 2006-08-13 |
| 1437175163 | Nanette R Paredes | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2006-07-14 |
| 1134171820 | Midmichigan Medical Center - Midland | Physician Assistant | 4009 Orchard Dr, Midland, MI 48640-6102 | 2006-05-17 |
| Find all providers in MIDLAND | ||||
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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.