GREEN WILLOW PEDIATRICS (NPI# 1174837298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174837298 |
| Entity Type | Organization |
| Organization Name | GREEN WILLOW PEDIATRICS |
| Practice Address |
3030 Mcever Rd Building 1, Suite 130 Gainesville GA 30504-5579 |
| Practice Telephone | 6784500747 |
| Practice Fax Number | 6784500779 |
| Mailing Telephone | 6784500747 |
| Mailing Fax Number | 6784500779 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | DR. SEEMA BISHT-NADLER (OWNER) |
| Authorized Official Telephone | 6784500747 |
| Authorized Official Credential | M.D., F.A.A.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 046361 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3030 MCEVER RD BUILDING 1, SUITE 130 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588818843 | Alma Marie Nakasone | Nurse Practitioner | 3030 Mcever Rd, Building 1 Suite 130, Gainesville, GA 30504-5579 | 2008-11-12 |
| 1518471499 | Paul Obinna Okoro | Nurse Practitioner | 3030 Mcever Rd, Gainesville, GA 30504-5579 | 2017-11-30 |
| 1043618259 | Annual Wellness Centers of America | Clinic/Center | 3030 Mcever Rd, Suite 300, Gainesville, GA 30504-5579 | 2014-12-22 |
| 1366884470 | Michelle Brendalee Shand | Nurse Practitioner | 3030 Mcever Rd, Gainesville, GA 30504-5579 | 2013-07-18 |
| 1609217108 | Robyn Johnson Lance | Nurse Practitioner | 3030 Mcever Rd, Building 1, Suite 130, Gainesville, GA 30504-5579 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1679077291 | Sonja Ann Rasmussen | Pediatrics | Shands Hospital 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2018-03-19 |
| 1346652278 | Elahe Meryl Shychuk | Pediatrics | 1600 Sw Archer Rd # B100296, Gainesville, FL 32610-3003 | 2014-05-27 |
| 1760829147 | Robert Daniel Smith II | Pediatrics | 610 Nw 34th Ter, Gainesville, FL 32607-2434 | 2013-05-27 |
| 1871847608 | Apisadaporn Thambundit | Pediatrics | 1600 Sw Archer Rd Rm Hd513, Gainesville, FL 32610-3003 | 2012-10-31 |
| 1285982082 | Zachary Gohsman | Pediatrics | 1699 Sw 16th Ave Bldg A, Gainesville, FL 32608-1158 | 2012-08-27 |
| 1609133982 | Karen Martinez | Pediatrics | 1600 Sw Archer Rd Box 100296 Rm Hd513, Gainesville, FL 32610-0001 | 2012-04-11 |
| 1376809491 | Dr. Rosi Pediatrics, LLC | Pediatrics | 2131 Nw 40th Ter, Suite A, Gainesville, FL 32605-3599 | 2012-04-03 |
| 1699059634 | Thomas M Zavelson | Pediatrics | 4316 Nw 38th St, Gainesville, FL 32606-4534 | 2011-10-10 |
| 1659663243 | Vaidehi Archit Shah | Pediatrics | 7474 Limestone Dr, Gainesville, VA 20155-4007 | 2011-05-14 |
| 1073833265 | Varachati Soodjinda | Pediatrics | 592 Medical Park Dr, Suite A, Gainesville, GA 30501-2055 | 2010-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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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.