DR. ANURAG D TIWARY (NPI# 1164404620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164404620 |
| Entity Type | Individual |
| Full Name | DR. ANURAG D TIWARY |
| Credential | M.D. |
| Practice Address |
4904 Timber Ridge Dr Ste 104 Douglasville GA 30135 |
| Mailing Address |
4904 Timber Ridge Dr Ste 104 Douglasville GA 30135-1831 |
| Practice Telephone | 7709424822 |
| Mailing Telephone | 7709424822 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 83687 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME0062882 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD2005-0136 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00747066 | 01 | |
| FL | 372631200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135 | 7709424822 | |
| 495 Alt 19 # 357, Palm Harbor, FL 346835305 | 7273466489 |
| Street Address |
4904 TIMBER RIDGE DR STE 104 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619234150 | Brian Reeves Giles | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135-1831 | 2012-04-23 |
| 1598779977 | James Patrick Brannon | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235435629 | Chen Nan Wu | Surgery | 8820 Campbellton St, Douglasville, GA 30134-2203 | 2011-02-01 |
| 1710072319 | Ateeqahmed Siddiqhussain Patel | Surgery | 4406 Grassland Court, Douglasville, GA 30135 | 2006-10-03 |
| 1144293598 | William A Griffith | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1828 | 2006-02-08 |
| 1639533896 | Wellstar Medical Group, LLC | Surgery | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-13 |
| 1619234150 | Brian Reeves Giles | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135-1831 | 2012-04-23 |
| 1164715132 | Wellstar Medical Group, LLC | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1828 | 2011-05-24 |
| 1811181456 | General Surgical Associates, PC | Surgery | 8954 Hospital Dr, Suite 100 B, Douglasville, GA 30134-2272 | 2007-08-28 |
| 1295893873 | Ganesh Pranshankar Pandya | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1826 | 2006-12-05 |
| 1477560340 | Wellstar Douglas Surgical Associates, LLC | Surgery | 6002 Professional Parkway, Suite 260, Douglasville, GA 30134 | 2006-08-02 |
| 1598779977 | James Patrick Brannon | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135 | 2006-07-28 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
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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.