PAMELA ANN PACQUIAO (NPI# 1073629754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073629754 |
| Entity Type | Individual |
| Full Name | PAMELA ANN PACQUIAO |
| Credential | MD |
| Practice Address |
743 Spring St Ne Gainesville GA 30501-3715 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702196000 |
| Mailing Telephone | 7702198420 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
65160 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003110380A | 05 | |
| AL | 009959575 | 05 |
| Street Address |
743 SPRING ST NE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293958 | J. Taylor Henson | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2005-05-23 |
| 1598362303 | Rebecca Neff | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-10-05 |
| 1942817648 | Frank James Vizen | Registered Nurse | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-26 |
| 1285240580 | Jennifer Erin Wood | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-22 |
| 1174139026 | Corey Barron | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-16 |
| 1235743451 | Christy Tepic | Anesthesiologist Assistant | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-09-04 |
| 1073126439 | Ashley Banks | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-08-26 |
| 1144838665 | Albert Duane Hancock | Nurse Practitioner | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-07-21 |
| 1255957718 | Krystle Dunn | Pathology | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-21 |
| 1922624428 | Abdullah Asreb | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2020-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1760801815 | Pouya Alexander Ameli | Psychiatry & Neurology | Uf Neurology Mcknight Brain Institute 1149 Newell Drive, Gainesville, FL 32610-0001 | 2014-04-15 |
| 1104265909 | Nakia Wilson | Psychiatry & Neurology | 100 Newell Dr Ste L3-100, Gainesville, FL 32610 | 2013-06-14 |
| 1760829824 | Justin Michael Yancey | Psychiatry & Neurology | 4343 W Newberry Rd Ste 3, Gainesville, FL 32607 | 2013-05-30 |
| 1457643314 | Addie Patterson | Psychiatry & Neurology | 3450 Hull Rd Fl 4, Gainesville, FL 32607-4144 | 2011-05-11 |
| 1629380720 | Qingshan Teng | Psychiatry & Neurology | 100 S Newell Dr, L3-100, Gainesville, FL 32610-0236 | 2010-07-06 |
| 1942432067 | Buna Joe Wilder Sr. | Psychiatry & Neurology | 10530 Nw 15th Pl, Gainesville, FL 32606 | 2009-08-24 |
| 1457568644 | Daniel Lamar Cobb | Psychiatry & Neurology | 1485 Jesse Jewell Pkwy Ne Ste 240, Gainesville, GA 30501-3801 | 2007-05-17 |
| 1962620070 | Suvarchala Somayajula | Psychiatry & Neurology | 1315 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501 | 2007-04-23 |
| 1346348281 | George G Feussner Md Pa | Psychiatry & Neurology | 7106 Nw 11th Place, Suite A, Gainesville, FL 32605-3157 | 2006-09-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.