SAMUEL BELKNAP (NPI# 1073957783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073957783 |
| Entity Type | Individual |
| Full Name | SAMUEL BELKNAP |
| Practice Address |
2142 W Broad St Ste 200 Athens GA 30606 |
| Mailing Address |
2142 W Broad St Bldg 200 Athens GA 30606-3509 |
| Practice Telephone | 7066129401 |
| Practice Fax Number | 7066129420 |
| Mailing Telephone | 7066129401 |
| Mailing Fax Number | 7066129420 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | R3152 | KY | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 79820 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Division of Urology 800 Rose St, Ms 283, Lexington, KY 405360293 | 8593236679 |
| Street Address |
2142 W BROAD ST STE 200 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174628127 | Catherine Bath Schwender | Urology | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2006-09-14 |
| 1114548559 | Kristina Louise Kauffman | Physician Assistant | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2020-04-27 |
| 1609429174 | Megan Poole | Nurse Practitioner | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2019-07-23 |
| 1083189591 | St. Mary's Medical Group, Inc. | Neurological Surgery | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2018-10-11 |
| 1821480450 | Meagan Meekin Rector | Physician Assistant | 2142 W Broad St Ste 200, Athens, GA 30606 | 2015-02-18 |
| 1710381918 | Toni Carter | Physician Assistant | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2014-10-16 |
| 1932541562 | Kristen G Lane | Nurse Practitioner | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2013-07-24 |
| 1578803755 | Athens Area Urology, PC | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-02-25 |
| 1386930170 | Viren Sahai Vasudeva | Neurological Surgery | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1568642767 | Mark A Adams | Urology | 957 Baxter Street, Athens, GA 30606 | 2007-11-06 |
| 1972625432 | Kristin Elizabeth Lowe | Urology | 75 Hospital Dr Ste 250, Athens, OH 45701-2866 | 2007-04-04 |
| 1174628127 | Catherine Bath Schwender | Urology | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2006-09-14 |
| 1780651489 | Adam Christopher Stage | Urology | 1701 S Palestine St Ste A, Athens, TX 75751-5739 | 2006-03-02 |
| 1902804784 | Gary Richard Walton | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| 1083268783 | Georgia Urology, Pa | Urology | 120 Trinity Pl, Athens, GA 30607-2100 | 2019-07-31 |
| 1578803755 | Athens Area Urology, PC | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-02-25 |
| 1508180324 | Matthew C Steele | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2010-03-23 |
| 1255591665 | Stephanie Johnson | Urology | 1500 Oglethorpe Ave, Suite 2000, Athens, GA 30606-2179 | 2008-06-10 |
| Find all providers in ATHENS | ||||
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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.