DR. WILLIAM BRUCE TANNEHILL (NPI# 1053377879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053377879 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRUCE TANNEHILL |
| Credential | M.D. |
| Practice Address |
630 13th St Suite 250 Augusta GA 30901-1015 |
| Mailing Address |
1125 Troupe St P.o. Box 3129 Augusta GA 30914-3129 |
| Practice Telephone | 7067242500 |
| Practice Fax Number | 7068235928 |
| Mailing Telephone | 7067374575 |
| Mailing Fax Number | 7067315289 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
036023 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036023 | GA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036023 | GA | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
036023 | GA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036023 | GA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
036023 | GA | Allopathic & Osteopathic Physicians |
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
036023 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI - VASCULAR RADIOLOGY | 1346357217 | 01 | |
| GA | 00518273C | 05 | |
| SC | G36023 | 05 |
| Street Address |
630 13TH ST SUITE 250 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257811 | Pamela Barber Salazar | Physical Medicine & Rehabilitation | 630 13th St, Suite 10, Augusta, GA 30901-1015 | 2005-06-30 |
| 1629630199 | Kevin Finnegan | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2019-07-03 |
| 1679025829 | Patricia Getsinger | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2016-11-03 |
| 1649688193 | Amanda Frame | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2014-07-29 |
| 1912286774 | Christopher Michael Moon | Physician Assistant | 630 13th St, Augusta, GA 30901-1015 | 2011-08-11 |
| 1134412331 | Fresenius Vascular Care Augusta, LLC | Radiology | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-05-20 |
| 1497044028 | Alfred Jacob Harper II | Nurse Anesthetist, Certified Registered | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-04-05 |
| 1679882625 | Clay Bryan Cushman | Physician Assistant | 630 13th St, Ste 250, Augusta, GA 30901-1015 | 2010-09-24 |
| 1588829055 | Aaron Michael Hurd | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2008-07-24 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275579112 | Charles Rex Teeslink | Radiology | 2634 Henry St, Augusta, GA 30904-4656 | 2006-06-21 |
| 1255321915 | Anthony Dhiantie Goei | Radiology | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2005-10-25 |
| 1942836580 | David H. Riggans, Md PC | Radiology | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2020-03-16 |
| 1689167264 | Ivan Morales | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-06-08 |
| 1134412331 | Fresenius Vascular Care Augusta, LLC | Radiology | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-05-20 |
| 1073834131 | University Health Care Physicians LLC | Radiology | 1350 Walton Way, Augusta, GA 30901-2612 | 2010-06-11 |
| 1275737918 | Matthew David Givens | Radiology | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
| 1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
| 1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
| 1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
| 1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
| 1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
| 1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
| 1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
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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.