GRACE T. DUQUE-DIZON, MD, PC (NPI# 1154488922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154488922 |
| Entity Type | Organization |
| Organization Name | GRACE T. DUQUE-DIZON, MD, PC |
| Practice Address |
101 Greensboro Rd Eatonton GA 31024-6054 |
| Mailing Address |
Po Box 4207 Macon GA 31208-4207 |
| Practice Telephone | 4786210905 |
| Practice Fax Number | 4787420854 |
| Mailing Telephone | 4786210905 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GRACE T DUQUE DIZON (OWNER - PRESIDENT) |
| Authorized Official Telephone | 4786210905 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAIL ROAD MEDICARE GROUP | DB9533 | 01 |
| Street Address |
101 GREENSBORO RD |
| City | EATONTON |
| State | GA |
| Zip Code | 31024-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053481903 | Orville G Rickard | Nurse Anesthetist, Certified Registered | 101 Greensboro Rd, Eatonton, GA 31024-6054 | 2006-11-08 |
| 1962963306 | Brooke Mcmillen | Speech-Language Pathologist | 101 Greensboro Rd, Eatonton, GA 31024-8512 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578972329 | Touch A Life Health Care (llc) | Public Health or Welfare | 105 Troy Edwards Rd., Eatonton, GA 31024 | 2014-08-06 |
| 1275714438 | O Akhras Md PC | Clinic/Center | 120 Sparta Hwy, Eatonton, GA 31024 | 2007-11-16 |
| 1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1164501367 | Brian E Prell | Physical Therapist | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2006-11-06 |
| 1548352982 | Herman V Barnes | Internal Medicine | 105 Ashland Pl, Eatonton, GA 31024 | 2006-09-29 |
| 1801180591 | Hannah Meigan Johnson Miller | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2011-05-31 |
| 1649415217 | Lake Oconee Rehabilitation and Performance Center, LLC | Clinic/Center | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2008-12-10 |
| 1427139310 | Thomas L Brown | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2006-10-18 |
| 1306857032 | Putnam County Board of Health | Public Health or Welfare | 103 N Washington St, Eatonton, GA 31024 | 2006-08-10 |
| Find all providers in zip 31024 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331423 | Premier Healthcare Center Corp | Anesthesiology | 4153 Flat Shoals Pkwy Ste 102, Decatur, GA 30034-4106 | 2020-06-22 |
| 1205457710 | Urgent Pain Management, Inc | Anesthesiology | 1001 Virginia Ave, Hapeville, GA 30354-1328 | 2020-05-06 |
| 1831710854 | Md Pain Care, P.C. | Anesthesiology | 333 Alcovy St Ste 3, Monroe, GA 30655-2180 | 2020-04-30 |
| 1295356210 | Md Pain Care, P.C. | Anesthesiology | 5109 Highway 278 Ne Ste C, Covington, GA 30014-2608 | 2020-04-30 |
| 1407475296 | Georgia Injury & Pain Specialists | Anesthesiology | 7001 Hodgson Memorial Dr Ste 5, Savannah, GA 31406-2549 | 2020-04-11 |
| 1023645629 | Nexus Pain Center of Lagrange LLC | Anesthesiology | 1075 Lafayette Pkwy Ste 230, Lagrange, GA 30241-3734 | 2020-03-24 |
| 1255820502 | Georgia Pain and Spine Solutions, PC | Anesthesiology | 76 Highland Pavilion Court, #133, Hiram, GA 30141-3170 | 2018-05-02 |
| 1336527191 | Palmetto Pain Management of Ga, LLC | Anesthesiology | 5745 Clarion St, Cumming, GA 30040-0305 | 2015-05-13 |
| 1033546999 | Pain Management Specialists of Atlanta P C | Anesthesiology | 616a S 8th St, Suite A, Griffin, GA 30224-4214 | 2013-10-08 |
| 1649615584 | Nj Medical Services PC | Anesthesiology | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2013-05-06 |
| Find all providers with the same taxonomy | ||||
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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.