AR MEDICAL LLC (NPI# 1164472338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164472338 |
Entity Type | Organization |
Organization Name | AR MEDICAL LLC |
Other Organization Name | LUDOWICI MEDICAL CENTER |
Practice Address |
15 Mcdonald St Ludowici GA 31316-4500 |
Mailing Address |
809 Peachtree St Louisville GA 30434-1449 |
Practice Telephone | 9125459511 |
Practice Fax Number | 9125459341 |
Mailing Telephone | 4786257597 |
Mailing Fax Number | 4786258364 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2008-01-29 |
Authorized Official Name | DR. FIROZ PATKA (PRESIDENT) |
Authorized Official Telephone | 4786257597 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
055131 | GA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
LUDOWICI MEDICAL CENTER | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659431708 | Ar Medical LLC | Clinic/Center | 2514-c Tabacco Rd, Hephzibah, GA 30815-7005 | 2006-12-11 |
1962562884 | Ar Medical LLC | Clinic/Center | 809 Peachtree Street, Louisville, GA 30434-1449 | 2006-12-11 |
1619037769 | Ar Medical LLC | Clinic/Center | 1217 Memorial Dr Suite 2, Dalton, GA 30720-2535 | 2006-12-11 |
1053471979 | Ar Medical LLC | Clinic/Center | 502 East General Stewart Way Suite A, Hinesville, GA 31313-2643 | 2006-12-11 |
1306916119 | Ar Medical LLC | Clinic/Center | 15 North Mcdonald Street, Ludowici, GA 31316-0068 | 2006-11-09 |
1164472478 | Ar Medical LLC | Pediatrics | 502 E General Stewart Way, Hinesville, GA 31313-2629 | 2006-05-10 |
1396805214 | Ar Medical LLC | Clinic/Center | 306 Mount Pleasant Rd, Thomson, GA 30825-8124 | 2006-12-11 |
Street Address |
15 MCDONALD ST |
City | LUDOWICI |
State | GA |
Zip Code | 31316-4500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104450220 | Bruce Sidney Williams | Behavior Technician | 63 Fury Lane Ne, Ludowici, GA 31316 | 2020-02-27 |
1821529074 | Chelsey Guthrie | Registered Nurse | 584 N Macon Street, Ludowici, GA 31316 | 2017-03-21 |
1154664126 | Mary A. Lias | Registered Nurse | 118 N. Mcdonald St., Ludowici, GA 31316 | 2013-03-28 |
1669798989 | Cecilia B Ong | Specialist | 213 North Mcdonald Street, Suite A & B, Ludowici, GA 31316 | 2010-04-12 |
1528298668 | Long County Health Center | Clinic/Center | 40 E Cypress St, Bldg A, Ludowici, GA 31316 | 2009-07-23 |
1952584708 | Diversity Health Center Inc | Clinic/Center | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 | 2007-12-14 |
1922159615 | John-michael Nakles | Marriage & Family Therapist | 16 Residence Street, Ludowici, GA 31316 | 2007-01-16 |
1659428720 | Florence O Baggs | Nurse Practitioner | 73 Coastal Manor Dr, Ludowici, GA 31316 | 2007-01-04 |
1265463004 | Hospital Authority of Liberty County | Skilled Nursing Facility | Hwy 84 East, Ludowici, GA 31316 | 2006-07-06 |
1982196507 | Holli Bailey Eason | Nurse Practitioner | 213 N Mcdonald St Ste A&b, Ludowici, GA 31316 | 2018-05-30 |
Find all providers in zip 31316 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist 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: 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 |
---|---|---|---|---|
1003078296 | Carzadean Bernadette Hall | Internal Medicine | 185 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2008-06-28 |
1891767448 | Maurice Clifton | Internal Medicine | 1550 College St, Macon, GA 31207-1500 | 2006-02-07 |
1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
1063751402 | Focus Care Medical Center | Internal Medicine | 2171 Northlake Pkwy, Tucker, GA 30084-4104 | 2013-02-05 |
1831406024 | Vinilkumar Badri | Internal Medicine | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2010-09-09 |
1003076001 | Shonali Saha | Internal Medicine | 3200 Highlands Pkwy Se, Ste 400, Smyrna, GA 30082-5166 | 2008-06-12 |
1982714333 | Saima Khan | Internal Medicine | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 2006-08-30 |
1023067147 | Ognjenka Goga Brkic-vukotic | Internal Medicine | 11050 Crabapple Rd, Suite 104 B, Roswell, GA 30075-2489 | 2006-05-08 |
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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.