LINDA MARIE STREET (NPI# 1962630830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962630830 |
| Entity Type | Individual |
| Full Name | LINDA MARIE STREET |
| Credential | M.D. |
| Practice Address |
3624 J Dewey Gray Cir Ste 308 Augusta GA 30909-6580 |
| Practice Telephone | 7069227670 |
| Practice Fax Number | 7068638175 |
| Mailing Telephone | 7069227670 |
| Mailing Fax Number | 7068638175 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 75544 | GA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 32026 | SC | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
75544 | GA | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
32026 | SC | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
2013-00501 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 179TK | 01 |
| NC | 1962630830 | 05 | |
| NC | AETNA | 5632783 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 15th St, Augusta, GA 309120004 | 7067214959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| Street Address |
3624 J DEWEY GRAY CIR STE 308 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386901288 | Danielle Lynn Taylor | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174916803 | Andrea Elizabeth Pinner | Obstetrics & Gynecology | 1348 Walton Way Ste 4300, Augusta, GA 30901-5107 | 2015-03-04 |
| 1417949066 | Janet Elaine Davis | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2005-08-19 |
| 1811138506 | Janet E. Davis, M.d., P.C. | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2009-03-10 |
| 1992946644 | Debra J. Ware, Md, PC | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2009-03-10 |
| 1063522563 | Lawrence D. Devoe | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1558353193 | Hossam Eldin Fadel | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2005-08-19 |
| 1821080342 | Debra Jeinine Ware | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710253422 | Rachel Shulman | Obstetrics & Gynecology | 77 Collier Rd Nw Ste 3130, Atlanta, GA 30309-1754 | 2012-03-27 |
| 1841512662 | Rufus Harold Holbrook Jr. | Obstetrics & Gynecology | 6970 Brandon Mill Rd Nw, Atlanta, GA 30328-2048 | 2010-02-20 |
| 1396970109 | Obstetrix Medical Group of Atlanta, LLC | Obstetrics & Gynecology | 1938 Peachtree Road, Suite 303, Atlanta, GA 30309-1281 | 2009-05-22 |
| 1144495581 | Omar Maurice Young | Obstetrics & Gynecology | 550 Peachtree St Ne Ste 1275, Atlanta, GA 30308-2240 | 2008-04-28 |
| 1780739359 | Kim R Lipscomb | Obstetrics & Gynecology | 980 Johnson Ferry Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2007-01-24 |
| 1548324635 | Curless Anne Patterson | Obstetrics & Gynecology | 990 Hammond Dr Ste 120, Atlanta, GA 30328-5510 | 2006-12-21 |
| 1336186832 | Chukwuma Onyeije | Obstetrics & Gynecology | 550 Peachtree Street, Ne, Ste 1275, Atlanta, GA 50307 | 2006-06-01 |
| 1972571131 | Richard Lynn Rosemond | Obstetrics & Gynecology | 700 Sunset Dr Ste 301, Athens, GA 30606-7721 | 2006-03-14 |
| 1174590152 | Robert L. Jacobson | Obstetrics & Gynecology | 1968 North Ave, Columbus, GA 31901-1525 | 2006-03-08 |
| 1255893277 | High Risk Pregnancy Specialists LLC | Obstetrics & Gynecology | 918 S Broad St, Thomasville, GA 31792-6198 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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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.