DR. CASSANDRA QUIANA WHITE (NPI# 1245456706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245456706 |
Entity Type | Individual |
Full Name | DR. CASSANDRA QUIANA WHITE |
Credential | M.D. |
Practice Address |
1120 15th St Augusta GA 30912-0004 |
Mailing Address |
4050 Brownstone Dr 917 Evans GA 30809-9131 |
Practice Telephone | 7067213153 |
Mailing Telephone | 7063038744 |
Mailing Fax Number | 7063038744 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2014-06-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
068339 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174864698 | Cassandra White | Occupational Therapist | 9817 Castle Hwy, Pleasureville, KY 40057-8605 | 2013-03-07 |
1093071219 | Cassandra White | Ophthalmology | 2720 W Cherry Ln, Meridian, ID 83642-1137 | 2012-04-02 |
1558581405 | Cassandra White | Licensed Practical Nurse | 5598 Xebec Dr, Canal Winchester, OH 43110-8650 | 2007-04-25 |
1649697590 | Cassandra White | Physical Therapy Assistant | 427 Wilshire Blvd, Santa Monica, CA 90401-1409 | 2014-03-27 |
1740604917 | Cassandra Jarvis White | Speech-Language Pathologist | 3805 Marlane Dr, Grove City, OH 43123-9224 | 2014-02-09 |
1023371192 | Cassandra Rose White | Pharmacist | 1 Va Ctr, Augusta, ME 04330-6719 | 2012-06-22 |
1104038702 | Cassandra P White | Physical Therapy Assistant | 677 Court St, Keene, NH 03431-1702 | 2007-05-04 |
Street Address |
1120 15TH ST |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194854091 | Ian Russell Driscoll | Surgery | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2007-03-05 |
1083724454 | Michael L. Hawkins | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
1053381145 | Keith F. O'malley | Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205192424 | Nathan John Klingensmith | Surgery | 69 Jesse Hill Jr Drive, Se, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 | 2012-04-03 |
1306928809 | Kevin J Farrell | Surgery | 101 West Ponce Deleon Ave, Emory Medical Care Foundation Ste 331, Decatur, GA 30030 | 2006-10-20 |
1972503837 | Gregory R Strauther | Surgery | 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501-3473 | 2005-07-21 |
1841583119 | Brian H Gibson | Surgery | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2011-05-19 |
1699065573 | Wellstar Medical Group, LLC | Surgery | 55 Whitcher St Ne, Suite 130, Marietta, GA 30060-1156 | 2011-04-13 |
1710283460 | Malcolm Ingram Goodchild | Surgery | 2737 Warm Springs Rd, Building A, Columbus, GA 31904-6859 | 2011-01-28 |
1215248604 | James G Boron | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2010-06-30 |
1427377043 | James Clifton Haynes | Surgery | 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 | 2010-05-21 |
1700047784 | Keren Aviva Bashan-gilzenrat | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2008-06-22 |
1790946762 | Katherine Kohler | Surgery | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-06-22 |
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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.