DR. HARRY DOUGLAS VILDIBILL (NPI# 1194702290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194702290 |
| Entity Type | Individual |
| Full Name | DR. HARRY DOUGLAS VILDIBILL |
| Credential | M.D. |
| Practice Address |
425 W 3rd Ave Suite 400 Albany GA 31701-1941 |
| Practice Telephone | 2298836311 |
| Practice Fax Number | 2298836315 |
| Mailing Telephone | 2298836311 |
| Mailing Fax Number | 2298836315 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2009-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 045654 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00792096A | 05 |
| Street Address |
425 W 3RD AVE SUITE 400 |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342281 | Francis N Herrbold | Surgery | 425 W 3rd Ave, Albany, GA 31701-1941 | 2005-08-02 |
| 1003351065 | Brittany Pines | Nurse Practitioner | 425 W 3rd Ave, Suite 105, Albany, GA 31701-1941 | 2016-12-30 |
| 1174913198 | Cassandra R Stewart | Nurse Practitioner | 425 W 3rd Ave, Ste 550, Albany, GA 31701-1941 | 2015-01-29 |
| 1598006496 | Jennifer H Bradley | Nurse Practitioner | 425 W 3rd Ave, Ste 600, Albany, GA 31701-1941 | 2013-03-04 |
| 1134460033 | Pamela P Freeman | Nurse Practitioner | 425 W 3rd Ave, Ste 600, Albany, GA 31701-1941 | 2013-03-04 |
| 1417297011 | Anna V Rentz | Nurse Practitioner | 425 W 3rd Ave, Ste 600, Albany, GA 31701-1941 | 2013-02-20 |
| 1356691257 | Phoebe Urology | Clinic/Center | 425 W 3rd Ave, Ste 550, Albany, GA 31701-1999 | 2012-09-18 |
| 1053690636 | Traci K Yawn | Nurse Practitioner | 425 W 3rd Ave, Ste 105, Albany, GA 31701-1941 | 2011-08-12 |
| 1295055861 | Phoebe Physiatry | Physical Medicine & Rehabilitation | 425 W 3rd Ave, 105, Albany, GA 31701-1941 | 2010-06-07 |
| 1841518370 | Rebecca Murphy Hammack | Nurse Practitioner | 425 W 3rd Ave, Suite 510, Albany, GA 31701-1941 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| 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 |
|---|---|---|---|---|
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1861811770 | Peter Andrew Sweeny | Surgery | 705 Elm St Sw Ste 300, Albany, OR 97321-1958 | 2014-04-08 |
| 1457617169 | Rohit T Repala | Surgery | 319 S Manning Blvd Ste 304, Albany, NY 12208-1744 | 2012-04-06 |
| 1245506070 | Albany Surgery Associates, PC | Surgery | 319 South Mannning Blvd, Ste#302, Albany, NY 12208 | 2012-03-27 |
| 1154695401 | Lawrence S Eby | Surgery | 2740 Foxglove Loop Se, Albany, OR 97322-7192 | 2012-03-05 |
| 1689888091 | Danielle Marie Pastor | Surgery | 113 Holland Avenue, Mc112, Albany Stratton Va Medical Center, Albany, NY 12208 | 2007-05-09 |
| 1811010903 | Paresh P Mane | Surgery | 319 So Manning Blvd, Albany Thoracic and Esophageal Surgery, Albany, NY 12208 | 2007-04-06 |
| 1972625481 | Phoebe Putney Memorial Hospital | Surgery | 409 W 4th Ave, Albany, GA 31701-1915 | 2007-04-04 |
| 1255476107 | Sanjay Munireddy | Surgery | 425 W 3rd Ave, Ste. 410, Phoebe Surgical Oncology, Albany, GA 31701-1954 | 2007-02-20 |
| 1821132093 | Gabriel J Kaufman | Surgery | 319 South Manning Blvd Ste 210, Dr Susan Kreienberg, Albany, NY 12208-1744 | 2007-02-19 |
| Find all providers in ALBANY | ||||
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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.