JONATHAN BARAK FASS (NPI# 1104821917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104821917 |
| Entity Type | Individual |
| Full Name | JONATHAN BARAK FASS |
| Credential | MD |
| Practice Address |
2000 Prince Ave Athens GA 30606-6016 |
| Practice Telephone | 7063538220 |
| Practice Fax Number | 7063538288 |
| Mailing Telephone | 7063538220 |
| Mailing Fax Number | 7063538288 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 046089 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609002344 | Jonathan Edward Fass | Physical Medicine & Rehabilitation | 053 Mckinly Lab, Newark, DE 19716 | 2009-06-09 |
| Street Address |
2000 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951450 | David Michael Greeson | Dermatology | 2000 Prince Ave, Athens, GA 30606-6016 | 2005-06-08 |
| 1912277765 | Athens Oral & Maxillo Facial Surgery, PC | Dentist | 2000 Prince Ave, Athens, GA 30606-6022 | 2012-01-11 |
| 1386733954 | Stanley D. Satterfield | Dentist | 2000 Prince Ave, Athens, GA 30606-6022 | 2006-10-12 |
| 1023115482 | Dermatology of Athens, P.C. | Dermatology | 2000 Prince Ave, Athens, GA 30606-6016 | 2006-09-20 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235658410 | Alexandros Stratigos | Dermatology | 28 Voucourestiou Street, Athens, GREECE 10671 | 2017-09-19 |
| 1306252671 | Richard Alan Langford | Dermatology | 295 Green St, 270-d Wilson Bldg. Uga, Athens, GA 30602-2354 | 2014-07-08 |
| 1689912651 | William Earl Barry | Dermatology | 100 Post Oak Trl, Athens, GA 30606-1300 | 2013-01-24 |
| 1376702761 | Elizabeth Naylor | Dermatology | 2111 E State St, Athens, OH 45701-2138 | 2008-06-02 |
| 1194893941 | William F B Moorman | Dermatology | 950 Prince Ave, Athens Area Dermatology, Athens, GA 30606 | 2006-12-01 |
| 1700849411 | Stephen Guy Mallette | Dermatology | 707 Us Highway 31 S, Suite F, Athens, AL 35611-3619 | 2006-04-11 |
| 1184619587 | David S Lockman | Dermatology | 728 Cobb St, Athens, GA 30606-2942 | 2005-09-13 |
| 1417951450 | David Michael Greeson | Dermatology | 2000 Prince Ave, Athens, GA 30606-6016 | 2005-06-08 |
| 1700357019 | Patrick D Retterbush Md LLC | Dermatology | 1500 Oglethorpe Ave Ste 300a, Athens, GA 30606-2181 | 2018-12-13 |
| 1023370913 | Chase Andrew Scarbrough | Dermatology | 55 Hospital Dr, Athens, OH 45701-2302 | 2012-06-15 |
| 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.