DAVID B. FLANNERY (NPI# 1003926569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003926569 |
Entity Type | Individual |
Full Name | DAVID B. FLANNERY |
Credential | MD |
Practice Address |
1120 15th St Augusta GA 30912-0004 |
Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2602 |
Practice Telephone | 7067212809 |
Practice Fax Number | 7067215697 |
Mailing Telephone | 7068288402 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
026516 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000288582A | 05 | |
SC | G26516 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205808250 | David J Flannery | Podiatrist | 201 N Main Ave, Scranton, PA 18504-3303 | 2006-02-03 |
Street Address |
1120 15TH ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700410867 | Reem Hudaib | Medical Genetics | 1470 Bramlett Forest Trl, Lawrenceville, GA 30045-7281 | 2020-02-27 |
1902147093 | Stuart K. Shapira | Medical Genetics | 1600 Clifton Rd., Mailstop E-87, Atlanta, GA 30333 | 2013-03-14 |
1225229693 | Pediatrics & Genetics, LLC | Medical Genetics | 3586 Old Milton Pkwy, Alpharetta, GA 30005-4465 | 2007-08-09 |
1255345435 | Stephanie Burns Wechsler | Medical Genetics | 1365 Clifton Rd Ne Bldg B Ste B 2200, Atlanta, GA 30322-1013 | 2006-07-27 |
1497702872 | Vidya Krishnamurthy | Medical Genetics | 3510 Old Milton Pkwy, Alpharetta, GA 30005-4458 | 2006-05-30 |
1427513266 | Cynthia Ann Moore | Medical Genetics | 440 Prior St Se, Gainesville, GA 30501-3402 | 2019-02-06 |
1053730838 | Emily Black | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322 | 2014-04-09 |
1083030548 | Juanita Neira Fresneda | Medical Genetics | 1365 Clifton Rd Ne, Building B Suite 2200, Atlanta, GA 30322 | 2014-03-08 |
1093078305 | Rossana Lucia Sanchez Russo | Medical Genetics | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-5307 | 2012-06-21 |
1811160609 | Hong Li | Medical Genetics | 2165 N Decatur Rd, Decatur, GA 30033-5307 | 2008-04-11 |
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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.