RICHARD RALSTON WHITLOCK JR. (NPI# 1053335828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053335828 |
| Entity Type | Individual |
| Full Name | RICHARD RALSTON WHITLOCK JR. |
| Credential | M.D. |
| Practice Address |
1348 Walton Way Suite 5100 Augusta GA 30901-5104 |
| Practice Telephone | 7067248611 |
| Practice Fax Number | 7067246202 |
| Mailing Telephone | 7067248611 |
| Mailing Fax Number | 7067246202 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
7340 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
020623 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 595429 | 01 |
| AETNA HMO | 897824 | 01 | |
| GA | CIGNA | 1585885-004 | 01 |
| AETNA PPO | 4134155 | 01 | |
| SC | G20623 | 05 | |
| GA | 00179077D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4350 Towne Centre Dr Ste 1100, Evans, GA 308093329 | 7068633790 | 7068633794 |
| 107 Walnut Ln Ste 101, North Augusta, SC 298608629 | 7067245611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992246110 | Richard Whitlock II | Student in an Organized Health Care Education/Training Program | 1 Baylor Plz, Houston, TX 77030-3411 | 2017-03-20 |
| 1598797870 | Richard S. Whitlock | Family Medicine | 5907 Highway 90, Moss Point, MS 39563-6536 | 2006-07-07 |
| Street Address |
1348 WALTON WAY SUITE 5100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949066 | Janet Elaine Davis | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2005-08-19 |
| 1144760919 | Nuriye Sarpkaya | Nurse Practitioner | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2017-02-27 |
| 1255701389 | Lauren Elizabeth Wilson | Physician Assistant | 1348 Walton Way, Suite 5100, Augusta, GA 30901-5104 | 2015-10-01 |
| 1144565920 | Emily B Hutchins | Physician Assistant | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2012-12-04 |
| 1811138506 | Janet E. Davis, M.d., P.C. | Obstetrics & Gynecology | 1348 Walton Way, Suite 4300, Augusta, GA 30901-5104 | 2009-03-10 |
| 1992946644 | Debra J. Ware, Md, PC | Obstetrics & Gynecology | 1348 Walton Way, Suite 5500, Augusta, GA 30901-5104 | 2009-03-10 |
| 1275778805 | Mitchell Clark Palmer | Physician Assistant | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5104 | 2008-12-11 |
| 1740457373 | Christopher Boyd Looney | Radiology | 1348 Walton Way, Ste. # 5700, Augusta, GA 30901-5104 | 2008-05-13 |
| 1629108329 | Augusta Gyn, Obstetrics & Gynecology 2 LLC | Obstetrics & Gynecology | 1348 Walton Way, Suite 4100, Augusta, GA 30901-5104 | 2007-03-06 |
| 1063576288 | Charles Gettys Mcclure | Psychiatry & Neurology | 1348 Walton Way, Suite 4500, Augusta, GA 30901-5104 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1861714321 | James Walter Ryan | Internal Medicine | 3047 Lake Forest Dr, Augusta, GA 30909-3027 | 2010-02-24 |
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1508962333 | William Joseph Wylie | Internal Medicine | 837 Chafee Ave, Augusta, GA 30904 | 2006-09-16 |
| 1730108846 | Keith Sue-ling | Internal Medicine | 1349 Druid Park Ave, Augusta, GA 30904 | 2006-07-19 |
| 1033157011 | Augusta Heart Associates | Internal Medicine | 818 St Sebastian Way, Ste 308, Augusta, GA 30901-1076 | 2006-06-03 |
| 1952375537 | Sameh Z. Lamiy | Internal Medicine | 818 Saint Sebastian Way Ste 311, Augusta, GA 30901-2653 | 2006-02-13 |
| 1639159064 | David T. Frost | Internal Medicine | 35 Medical Center Parkway, Suite 101, Augusta, ME 04330 | 2006-01-20 |
| 1134109051 | Rakesh I Baman | Internal Medicine | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2006-01-18 |
| 1730168261 | Faiz U Rehman | Internal Medicine | 818 Saint Sebastian Way Ste 307, Augusta, GA 30901 | 2006-01-12 |
| Find all providers in AUGUSTA | ||||
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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.