GEORGE S FIDONE (NPI# 1114039138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114039138 |
Entity Type | Individual |
Full Name | GEORGE S FIDONE |
Credential | MD |
Practice Address |
205 Gene Samford Dr Lufkin TX 75904 |
Practice Telephone | 9366342214 |
Practice Fax Number | 9366399660 |
Mailing Telephone | 9366342214 |
Mailing Fax Number | 9366399660 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
H4321 | TX | Allopathic & Osteopathic Physicians |
Street Address |
205 GENE SAMFORD DR |
City | LUFKIN |
State | TX |
Zip Code | 75904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023120136 | Jeffrey L Glass | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-08-31 |
1033638929 | The Children's Clinic Rusk Pllc | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904-3359 | 2017-09-12 |
1588906341 | Pediatric Behavioral Specialist of East Texas, LLP | Psychiatry & Neurology | 205 Gene Samford Dr, Lufkin, TX 75904-3359 | 2013-03-20 |
1881799138 | Melissa H Handley | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
1699870949 | Ghazala B Khan | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
1508961855 | Childrens Clinic of Lufkin Pa | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
1811009939 | Cristina M Graves | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
Find all providers in zip 75904 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881799138 | Melissa H Handley | Pediatrics | 205 Gene Samford Dr, Lufkin, TX 75904 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on GEORGE S FIDONE.
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.