DR. ZAZA GODZIASHVILI (NPI# 1215936208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215936208 |
Entity Type | Individual |
Full Name | DR. ZAZA GODZIASHVILI |
Credential | M.D. |
Practice Address |
2010 15th Street Bay City MI 48708 |
Practice Telephone | 9898945621 |
Practice Fax Number | 9898933528 |
Mailing Telephone | 9898945621 |
Mailing Fax Number | 9898933528 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2015-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 220270 | MA | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301075665 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | NPI | 1215936208 | 01 |
MA | 2102625 | 05 |
Street Address |
2010 15TH STREET |
City | BAY CITY |
State | MI |
Zip Code | 48708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
Find all providers in zip 48708 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679552228 | Erik Paul Voogd | Anesthesiology | 4121 Shrestha Dr, Bay City, MI 48706-2171 | 2006-01-12 |
1922494269 | Great Lakes Physician Resources Pllc | Anesthesiology | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2015-04-14 |
1255370094 | Great Lakes Pain Consult Pllc | Anesthesiology | 4121 Shrestha Dr, Bay City, MI 48706 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
Find all providers with the same taxonomy |
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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.