MR. EDGAR TATING VICTORIA (NPI# 1023122421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023122421 |
| Entity Type | Individual |
| Full Name | MR. EDGAR TATING VICTORIA |
| Credential | MD |
| Practice Address |
1411 Piedmont Cutoff Gadsden AL 35903 |
| Mailing Address |
P.o. Box 97 Gadsden AL 35902 |
| Practice Telephone | 2564920131 |
| Mailing Telephone | 2564920131 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 00007957 | AL | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 7957 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 51046490 | 01 |
| AL | 009923940 | 05 | |
| AL | 143752 (WADLEY) | 05 | |
| AL | 100906 | 05 | |
| AL | 143754 (ANNISTON) | 05 | |
| AL | IRS TAXPER IDENTIFICATION | 630736845 | 01 |
| AL | 143995 (COMPLEX) | 05 | |
| AL | 000046490 | 05 | |
| AL | 143836 (CLEBURNE) | 05 | |
| AL | BLUECROSS | 51094372 | 01 |
| Street Address |
1411 PIEDMONT CUTOFF |
| City | GADSDEN |
| State | AL |
| Zip Code | 35903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451518 | Carole W Campbell | Advanced Practice Midwife | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2005-07-20 |
| 1356892756 | Quality of Life Health Services,inc | Dentist | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2016-10-20 |
| 1740552785 | Quality of Life Health Services, Inc | Dentist | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2012-02-07 |
| 1043526445 | Anna Lessley Davis | Optometrist | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2010-08-23 |
| 1861691925 | Nina N Robinson | Dentist | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2007-07-17 |
| 1912028960 | Quality of Life Health Services Inc. | Pharmacy | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2007-04-03 |
| 1225108103 | Jay Michael Johnson | Optometrist | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2006-11-08 |
| 1932117330 | Sally Hughes | Nurse Practitioner | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2006-08-03 |
| 1568470789 | Phillip Rogers | Nurse Practitioner | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2006-08-03 |
| 1568416832 | Richard Allen West | Nurse Practitioner | 1411 Piedmont Cutoff, Gadsden, AL 35903-2708 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519612 | Fresenius Kidney Care Gadsden Acq, LLC | Clinic/Center | 800 Goodyear Ave, Gadsden, AL 35903 | 2017-06-30 |
| 1992140545 | Kristy Bray | Nurse Practitioner | 1007 Goodyear Avenue, Gadsden, AL 35903 | 2013-05-08 |
| 1386918076 | Chinyere Hope Buchi-ahiabuike | Nurse Practitioner | 1216 Wilbanks Ave, Gadsden, AL 35903 | 2012-02-28 |
| 1003047606 | Housing Opportunities for Persons With Exceptionalities, Inc. | Community/Behavioral Health | 327 N. 10th Street, Gadsden, AL 35903 | 2009-07-30 |
| 1154596690 | Cardiovascular Imaging | Technician, Cardiology | 5606 2nd St, Hokes Bluff, AL 35903 | 2008-04-25 |
| 1114007713 | State of Alabama Department of Public Health | Home Health | 709 East Broad Street, Gadsden, AL 35903 | 2006-10-17 |
| 1336246321 | Terisa Ann Thomas | Specialist | 800 Goodyear Avenue, Suite B, Gadsden, AL 35903 | 2006-09-20 |
| 1508874512 | Steven Michael Sanders | Family Medicine | 1026 Goodyear Avenue, Suite 100, Gadsden, AL 35903 | 2006-08-04 |
| 1184673535 | Quality of Life Health Services, Inc. | Clinic/Center | 1216 Wilbanks Avenue, Gadsden, AL 35903 | 2006-05-10 |
| 1306838818 | Thomas A Pugliese | Internal Medicine | 900 Goodyear Avenue, Suite A, Gadsden, AL 35903 | 2005-08-19 |
| Find all providers in zip 35903 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230121 | Larry Andrew May | Surgery | 900 Goodyear Ave Ste B, Gadsden, AL 35903-1145 | 2013-04-04 |
| 1053574129 | Sudhan Nagarajan | Surgery | 100 Medical Center Dr Ste 205, Gadsden, AL 35903-1140 | 2008-07-08 |
| 1164830923 | Eric A Crabtree | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1108 | 2014-07-24 |
| 1891976833 | Ken K Davenport | Surgery | 900 Goodyear Avenue, Suite B, Gadsden, AL 35903-1108 | 2007-11-19 |
| 1659472983 | Surgical Associates of Gadsden PC | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1108 | 2006-09-26 |
| 1477510527 | Lucian Newman Jr. | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1992762041 | John H Campbell | Surgery | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2006-05-01 |
| 1093772162 | Charles L Newman | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1639136716 | Lucian Newman IIi | Surgery | 419 S 5th St, Gadsden, AL 35901-5101 | 2006-05-01 |
| 1609837152 | Alberto Echeverri | Surgery | 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1107 | 2006-03-31 |
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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.