RESTAURA HEALTH LLC (NPI# 1225513385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225513385 |
Entity Type | Organization |
Organization Name | RESTAURA HEALTH LLC |
Practice Address |
924 W Spring St Monroe GA 30655-1751 |
Practice Telephone | 7702660933 |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |
Authorized Official Name | MARIBELLE VERDIALES (CEO) |
Authorized Official Telephone | 7062486472 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
Street Address |
924 W SPRING ST |
City | MONROE |
State | GA |
Zip Code | 30655-1751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578690483 | Maribelle Verdiales | Obstetrics & Gynecology | 924 W Spring St, Monroe, GA 30655-1751 | 2007-02-27 |
1801021241 | Heras Healthcare | Obstetrics & Gynecology | 924 W Spring St, Monroe, GA 30655-1751 | 2009-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558968149 | Coresa Hawanis Thomas | Counselor | Advantage Behavioral Health, 384 State Hwy 11 Sw, Walton, GA 30655 | 2020-10-06 |
1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
1861962730 | Danny Shoemake | Counselor | 2080 Highway 78 Nw, Monroe, GA 30655 | 2018-12-04 |
1205329687 | Advantage Behavioral Health Systems | Clinic/Center | 638 Michael Cir., Monroe, GA 30655 | 2018-06-11 |
1144722455 | Catherine Williams | Behavioral Analyst | 109 Blaine Street, Monroe, GA 30655 | 2018-03-02 |
1588186811 | Francette Dubuche Bernard | Nurse Practitioner | 398 Highway 11, Sw, Monroe, GA 30655 | 2017-07-07 |
1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
1639528524 | Matthew Bradford Allgood | Physical Therapist | 2120 W Spring St Ste 1500, Monroe, GA 30655 | 2016-06-10 |
1477939221 | Healthy Home Transitions | Social Worker | 506 S Broad Street, Monroe, GA 30655 | 2015-08-04 |
Find all providers in zip 30655 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
1003907072 | South Orange Gynecology PC | Obstetrics & Gynecology | 600 Route 208, Monroe, NY 10950 | 2006-09-27 |
1689838120 | Women's Healthsource, L.L.C. | Obstetrics & Gynecology | 410 Wood St, Monroe, LA 71201-7445 | 2008-07-14 |
1639398290 | Allison Dooley | Obstetrics & Gynecology | 312 Grammont St, Suite 300, Monroe, LA 71201-7457 | 2007-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
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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.