DR. IMO FRIDAY NDEM (NPI# 1982868915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982868915 |
Entity Type | Individual |
Full Name | DR. IMO FRIDAY NDEM |
Credential | M.D |
Practice Address |
4111 Old Petersburg Rd Pathway To Wellness Center,pc Augusta GA 30907-3346 |
Mailing Address |
4111 Old Petersburg Rd Augusta GA 30907-3346 |
Practice Telephone | 7062282929 |
Practice Fax Number | 7062289996 |
Mailing Telephone | 7062282929 |
Mailing Fax Number | 7062289996 |
Enumeration Date | 2008-07-18 |
Last Update Date | 2012-03-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
060968 | GA | Allopathic & Osteopathic Physicians |
Street Address |
4111 OLD PETERSBURG RD PATHWAY TO WELLNESS CENTER,PC |
City | AUGUSTA |
State | GA |
Zip Code | 30907-3346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
Find all providers in zip 30907 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700909751 | Leslie Ann Walleigh | Preventive Medicine | Key Plz Fl 3, 286 Water St, 11 Shs, Augusta, ME 04333-0011 | 2007-04-06 |
1366709735 | Shilpa Narasimhan Gowda | Preventive Medicine | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2012-04-23 |
1124288659 | Jason M. Wade | Preventive Medicine | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2008-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1447742614 | John Francis Halpin | Preventive Medicine | Occupational Health Clinic Bldg. 16, 1600 Clifton Rd., Atlanta, GA 30333 | 2018-06-04 |
1790234086 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 470 Franklin Gtwy Se, Suite 103, Marietta, GA 30067-7739 | 2016-09-27 |
1184173478 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 7750 The Blfs Ste 100, Austell, GA 30168-7754 | 2016-09-27 |
1518329440 | Harold Wayne Clayton | Preventive Medicine | 1133 Drewsbury Ct Se, Smyrna, GA 30080-3953 | 2016-03-21 |
1932511946 | Richard Miller | Preventive Medicine | 100 Alabama St Sw, Atlanta, GA 30303-8701 | 2014-05-24 |
1801219373 | Fredric Kevin Rosenberg | Preventive Medicine | 3270 Cochise Dr Se, Atlanta, GA 30339-4319 | 2014-02-03 |
1508121625 | Ohm Clinical Services, Inc. | Preventive Medicine | 8100b Roswell Rd, 400, Atlanta, GA 30350-6428 | 2012-07-05 |
1194957084 | Paul Joe | Preventive Medicine | 601 Belgrave Ln, Tucker, GA 30084-2077 | 2009-08-11 |
1497998058 | Margarett Ann Wilson | Preventive Medicine | 80 Jesse Hill Drive Ne, Atlanta, GA 30303 | 2009-04-13 |
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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.