RENEE DELZEITH (NPI# 1184024523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184024523 |
Entity Type | Individual |
Full Name | RENEE DELZEITH |
Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
Practice Telephone | 9124355117 |
Mailing Telephone | 9124355117 |
Enumeration Date | 2014-09-03 |
Last Update Date | 2014-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 247100000X | Radiologic Technologist | 167950 | OH | Technologists, Technicians & Other Technical Service Providers |
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
42862 | GA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1061 HARMON AVE |
City | FORT STEWART |
State | GA |
Zip Code | 31314-5641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
Find all providers in zip 31314 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093195497 | Holly Strickland | Radiologic Technologist | 122 Washington St Ste 7, Jefferson, GA 30549-6660 | 2015-06-02 |
1164818159 | Sydnay Rhynes | Radiologic Technologist | 1383 Coalition Cir, Hinesville, GA 31313-9163 | 2015-04-07 |
1255737615 | Tami Rider | Radiologic Technologist | 200 Carlie Ct, Hinesville, GA 31313-3810 | 2014-11-13 |
1073919437 | Janice Miller | Radiologic Technologist | 876 Tom Odum Rd, Vidalia, GA 30474-7105 | 2014-11-13 |
1619373073 | Karen Herring | Radiologic Technologist | 268 John Greco Ln, Pembroke, GA 31321-8583 | 2014-11-13 |
1174940654 | Quality Scans Inc | Radiologic Technologist | 415 Winterwood Dr, Stockbridge, GA 30281-1160 | 2014-03-24 |
1831513183 | Carrie Lynn Stoffer | Radiologic Technologist | 28 Currahee Pt, Toccoa, GA 30577-7297 | 2014-02-06 |
1154582955 | William Niebauer | Radiologic Technologist | 21 Youngblood Dr, Rossville, GA 30741-3858 | 2008-06-24 |
1407476013 | Keisha A Murray | Radiologic Technologist | 5337 Old National Hwy, College Park, GA 30349-3208 | 2020-04-23 |
1447650841 | Tanya Sumoski | Radiologic Technologist | 1061 Harmon Avenue, Ft. Stewart, GA 31314 | 2014-09-04 |
Find all providers with the same taxonomy |
City | FORT STEWART |
Zip Code | 31314 |
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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.