DR. ANTHONY KIMANI MWANGI (NPI# 1083604532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083604532 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY KIMANI MWANGI |
| Credential | M.D. |
| Practice Address |
201 Hospital Rd Canton GA 30114-2408 |
| Practice Telephone | 7707205100 |
| Practice Fax Number | 4048516325 |
| Mailing Telephone | 7707205100 |
| Mailing Fax Number | 4048516325 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 033654 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
033654 | GA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
033654 | GA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
033654 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000608297E | 05 |
| Street Address |
201 HOSPITAL RD |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959420 | Patricia Leigh Carver | Pharmacist | 201 Hospital Rd, Northside Hospital Cherokee Pharmace, Canton, GA 30114-2408 | 2005-08-10 |
| 1083152391 | Karen Jenkins | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2017-02-07 |
| 1609319375 | Kirk Braun | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-29 |
| 1104368158 | Giang Nguyen | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-08 |
| 1679015804 | Elmira Mcwilliams | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-04 |
| 1033661269 | Jennifer Bacchus | Pharmacist | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-04 |
| 1750833109 | Susan Michele Gramling | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1194277442 | Cynthia Paige Hemphill | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1487106878 | Candance Niccole Rhodes | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-01 |
| 1942751151 | Northside Hospital Cherokee | General Acute Care Hospital | 201 Hospital Rd, Pharmacy Department, Canton, GA 30114-2408 | 2016-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1336243047 | William D Frazier | Internal Medicine | 161 River Oaks Dr Ste Rt1188, Canton, MS 39046-5375 | 2006-09-12 |
| 1508869454 | Nihad M Boutros | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-05-24 |
| 1164622247 | Vishal Sawhney | Internal Medicine | 1445 Harrison Ave Nw, Suite 101, Canton, OH 44708-2620 | 2007-07-18 |
| 1679572317 | Robert B Packer | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708 | 2005-07-15 |
| 1134124340 | Pulmonary Physicians Inc | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-06-15 |
| 1912909235 | George H Kefalas | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-06-01 |
| 1083617724 | Jeffrey B Miller | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-05-26 |
| 1619970563 | Eyad Nashawati | Internal Medicine | 2600 Tuscarawas St W, Ste 100, Canton, OH 44708-4696 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812731 | Pierre David Villain | Internal Medicine | 9192 Dover St, Lithia Springs, GA 30122-3813 | 2018-08-23 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1093060303 | Jrmdinc | Internal Medicine | 4300 Southern Pines Dr, Evans, GA 30809-4287 | 2012-07-23 |
| 1275896896 | Nicholas M. Maurice | Internal Medicine | 1670 Clairmont Rd # 12c-189, Decatur, GA 30033-4004 | 2012-06-19 |
| 1457626913 | Seema S Tekwani | Internal Medicine | 49 Jesse Hill Jr Dr Se # 2c001, Division of Pulmonary and Critical Care Medicine, Atlanta, GA 30303-3049 | 2012-03-16 |
| 1033381900 | Andre Lavar Holder | Internal Medicine | 80 Jesse Hill Jr Dr Se Rm 2d012, Atlanta, GA 30303-3031 | 2008-03-31 |
| 1164607974 | David Emerson Green | Internal Medicine | 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 | 2007-12-31 |
| 1538380464 | Ram Mohan Subramanian | Internal Medicine | 1365 Clifton Rd Ne Bldg B-1, Atlanta, GA 30322-1059 | 2007-05-01 |
| 1639259666 | Juan Carlos Armstrong | Internal Medicine | 4550 Cobb Parkway North Nw Ste 210, Acworth, GA 30101-4182 | 2006-10-16 |
| 1558374041 | John Wesley King, Jr. | Internal Medicine | 641 W Thomas St, Milledgeville, GA 31061-2337 | 2006-08-14 |
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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.