DR. G ANTHONY SLAGEL (NPI# 1003966094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003966094 |
| Entity Type | Individual |
| Full Name | DR. G ANTHONY SLAGEL |
| Credential | MD |
| Practice Address |
101 Yorktown Dr Fayetteville GA 30214-1568 |
| Mailing Address |
Po Box 102321 Atlanta GA 30368-2321 |
| Practice Telephone | 7704648428 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 030893 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
101 YORKTOWN DR |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-1568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902856115 | Dawn Leilani Paletta | Physician Assistant | 101 Yorktown Dr, Fayetteville, GA 30214-1568 | 2006-05-10 |
| 1710385513 | Privia Pediatric Medical Group of Georgia LLC | Pediatrics | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-12-10 |
| 1013313857 | Privia Medical Group of Georgia LLC | Internal Medicine | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2014-11-05 |
| 1730580010 | Wendy E Swayne | Nurse Practitioner | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1578 | 2014-09-05 |
| 1275965634 | Megan Michelle Hanse | Nurse Practitioner | 101 Yorktown Dr, Suite 110, Fayetteville, GA 30214-1578 | 2013-08-07 |
| 1316298870 | Michael Allen Mccullough | Nurse Practitioner | 101 Yorktown Dr, Fayetteville, GA 30214-1578 | 2012-09-25 |
| 1407143852 | Alaina D'amato Burran | Physician Assistant | 101 Yorktown Dr, Suite 207, Fayetteville, GA 30214-1578 | 2011-07-06 |
| 1356632962 | Suhas Joe Samuel | Family Medicine | 101 Yorktown Dr, Suite 110, Fayetteville, GA 30214-1578 | 2011-04-29 |
| 1932416617 | Gina D Wise | Technician/Technologist | 101 Yorktown Dr, Suite 225, Fayetteville, GA 30214-1568 | 2010-09-02 |
| 1184948549 | Mukti Bhatia Kanji | Family Medicine | 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214-1568 | 2010-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306061031 | Northhills Dermatology | Dermatology | 3256 N Northhills Blvd, Fayetteville, AR 72703 | 2007-04-16 |
| 1679695233 | Coressence Inc | Dermatology | 103 Hay St, Fayetteville, NC 28301-5649 | 2007-04-04 |
| 1629158142 | Manfred S Rothstein | Dermatology | 1308 Medical Dr, Fayetteville, NC 28304 | 2006-10-17 |
| 1447350640 | Alvin Harold Clair | Dermatology | 874 W. Lanier Ave, Suite 270, Fayetteville, GA 30214-7617 | 2006-09-25 |
| 1679682520 | Lance B. Henry | Dermatology | 1444 E Stearns St, Suite 11, Fayetteville, AR 72703-6243 | 2006-08-30 |
| 1962519462 | Ravenhill Dermatology Medical Clinic, P.C. | Dermatology | 110 Barcelona Dr, Fayetteville, NC 28303-4453 | 2006-08-23 |
| 1306860119 | Douglas Walsh | Dermatology | 4110 Medical Center Drive, Dermatology Associates, Fayetteville, NY 13066-2075 | 2006-07-26 |
| 1285664623 | Carla T Lee | Dermatology | 4120 Thornton Taylor Pkwy Ste F, Fayetteville, TN 37334-2292 | 2006-07-03 |
| 1396784443 | Robert D Brown | Dermatology | 4375 N. Vantage Drive, Suite 305, Fayetteville, AR 72703 | 2006-06-05 |
| 1932154606 | Wendell Weller Weed | Dermatology | 3256 N North Hills Blvd, Fayetteville, AR 72703 | 2006-05-23 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.