Bounthavy Homsombath (NPI# 1225281330, PAC ID# 9032375720) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1225281330 |
| PAC ID by PECOS | 9032375720 |
| Professional Enrollment ID | I20120724001024 |
| Full Name | Bounthavy Homsombath |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Address |
3950 Austell Rd Austell GA 30106-1121 |
| Phone Number | 7068639595 |
| Gender | M |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 7618963638 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| 420079 | TRIDENT MEDICAL CENTER |
| 110143 | WELLSTAR COBB HOSPITAL |
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3651 Wheeler Rd, Augusta, GA 30909-6521 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 3950 Austell Rd, Austell, GA 30106-1121 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 2020 59th St W, Bradenton, FL 34209-4604 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 9313 Medical Plaza Dr, Suite 102, Charleston, SC 29406-9153 | 8437978992 | JOSEPH M STILL BURN CENTERS INC |
| 601 E Hampden Ave, Suite 310, Englewood, CO 80113-2769 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 11750 Sw 40 St, Miami, FL 33175-3530 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 3901 W 15th St, Plano, TX 75075-7738 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 7068639595 | JOSEPH M STILL BURN CENTERS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 85% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 59% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | JOSEPH M STILL BURN CENTERS INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kathryn Boggs | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| John George Rumbaugh | Family Medicine | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| Bryan Phillip Hendren | General Surgery | Joseph M Still Burn Centers Inc | 3647 J Dewey Gray Cir, Suite 200, Augusta, GA 30909-2205 |
| William C Lineaweaver | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Lauren Michelle Cannon | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Piotr Pawel Skowronski | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 |
| Elizabeth Donaldson | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Callie W Carter | Physician Assistant | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Angela Boyd | Nurse Practitioner | Joseph M Still Burn Centers Inc | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| S.m.a Zaheed Hassan | Plastic and Reconstructive Surgery | Joseph M Still Burn Centers Inc | 3950 Austell Rd, Austell, GA 30106-1121 |
| Street Address |
3950 AUSTELL RD |
| City | AUSTELL |
| State | GA |
| Zip | 30106-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhavik D Mehta | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Reza H Mohammad | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Y Khalid Siddiq | Endocrinology | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Yousef Hindi | Hospitalist | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Manu Malepati | Hospitalist | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Henry C Nygren | Emergency Medicine | The Bortolazzo Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Sonya D Thompson | Obstetrics/gynecology | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Gray Ndive Akoegbe | Cardiovascular Disease (cardiology) | Wellstar Medical Group, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Morgan T Maeger | Certified Registered Nurse Anesthetist (crna) | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Whitney A Wright | Anesthesiology Assistant | Mak Anesthesia Holdings, LLC | 3950 Austell Rd, Austell, GA 30106-1121 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristian Stodghill | Hospice/palliative Care | Wellstar Medical Group, LLC | 4040 Hospital W Dr, Austell, GA 30106 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Bennie Dean Mobley | Optometry | 3999 Austell Rd, Austell, GA 30106-1100 | |
| James V Waldron | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Karen J Moore | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Ashley W Crocker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Suite 100, Austell, GA 30106-1110 |
| Omar Hajmurad | Anesthesiology | Interventional Spine and Pain Management Center, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Megan Rutherford | Physician Assistant | Piedmont Providers LLC | 3820 Medical Park Dr, Austell, GA 30106-1110 |
| Tayler Alyse Walker | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Melanie D Marshall | Certified Registered Nurse Anesthetist (crna) | Mulkey Anesthesiology Associates, PC | 3870 Medical Park Dr, Austell, GA 30106-1110 |
| Find all physicians in zip 30106 | |||
| City | AUSTELL |
| Zip Code | 30106 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | AUSTELL + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Bounthavy Homsombath.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.