MR. KENNETH ALAN TEUTON (NPI# 1952654014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952654014 |
| Entity Type | Individual |
| Full Name | MR. KENNETH ALAN TEUTON |
| Credential | PHARMD. |
| Practice Address |
300 Hospital Rd Interdisciplinary Pain Management Center Fort Gordon GA 30905-5741 |
| Practice Telephone | 7067875678 |
| Practice Fax Number | 7067870196 |
| Mailing Telephone | 7067875678 |
| Mailing Fax Number | 7067870196 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 13284 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
13284 | SC | Pharmacy Service Providers |
| Street Address |
300 HOSPITAL RD INTERDISCIPLINARY PAIN MANAGEMENT CENTER |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386064053 | Gary Brunson | Registered Nurse | 300 Hospital Rd, Fort Gordon, GA 30905 | 2014-04-22 |
| 1366879470 | Vassie Beatrice Wade | Technician, Other | 300 Hospital Rd, Fort Gordon, GA 30905 | 2013-10-03 |
| 1790126209 | David Louis Anderson | Family Medicine | 300 Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-07-12 |
| 1346527561 | Ashley Nichole Davis | Counselor | 300 Hospital Rd, Fort Gordon, GA 30905 | 2011-11-16 |
| 1467769471 | Melissa S Gautreaux | Counselor | 300 Hospital Rd, Fort Gordon, GA 30905-5650 | 2010-09-13 |
| 1124291463 | Peter Shellabarger | Registered Nurse | 300 Hospital Rd, Fort Gordon, GA 30905 | 2008-04-08 |
| 1841461027 | Robert Douglas Rice | Surgery | 300 Hospital Rd, Dept. General Surgery, Fort Gordon, GA 30905 | 2008-03-17 |
| 1982713806 | Gary W Berg | Internal Medicine | 300 Hospital Rd, Bldg 40709, Fort Gordon, GA 30905-5650 | 2006-08-30 |
| 1710925805 | Lillian E Perez | Family Medicine | 300 Hospital Rd, Meb Section, Fort Gordon, GA 30905-5650 | 2006-06-02 |
| 1861469488 | Amy Dietz | Nurse Practitioner | 300 Hospital Rd, Connelly Health Clinic, Fort Gordon, GA 30905-5650 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467830372 | Ina Marie Norsworthy | Pharmacist | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2015-05-12 |
| 1215350731 | Whitney Bryson | Pharmacist | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2014-02-04 |
| 1134289309 | Rhonda Price Motes | Pharmacist | 300 East Hospital Road, Fort Gordon, GA 30905 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
| 1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
| 1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
| 1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
Please comment or provide details below to improve the information on MR. KENNETH ALAN TEUTON.
| 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.