DR. ANTHONY DHIANTIE GOEI (NPI# 1255321915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255321915 |
Entity Type | Individual |
Full Name | DR. ANTHONY DHIANTIE GOEI |
Credential | MD |
Practice Address |
1348 Walton Way Ste 5700 Augusta GA 30901-5110 |
Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
Practice Telephone | 7067747022 |
Practice Fax Number | 7067747023 |
Mailing Telephone | 7067747022 |
Mailing Fax Number | 7067747023 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2020-01-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
P0055 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE PTAN | 320604YPM9 | 01 |
TX | MEDICARE PTAN | 320604YR70 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1750 N Hampton Rd, Desoto, TX 751152306 | 2149464397 | 2149464399 |
Street Address |
1348 WALTON WAY STE 5700 |
City | AUGUSTA |
State | GA |
Zip Code | 30901-5110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831754738 | Jennifer T Reid | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2019-05-06 |
1477090900 | Renee Fritz | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2017-01-23 |
1952765018 | Rebekah Scout Sanders | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2016-04-05 |
1770835522 | Justin Michael Croft | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-10-03 |
1649534314 | Julyn Kendra Burton | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-06-27 |
1780944538 | Tamara Lynn Wyscaver Dirven | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2012-05-25 |
1154579605 | Christopher Ellington | Surgery | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2008-09-08 |
1407036585 | Bradley Earnest Carr | Technician, Other | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2007-11-06 |
1609815729 | William Clifford Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2006-06-05 |
1285691113 | John Salvatore Anastasi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2006-04-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
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Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275579112 | Charles Rex Teeslink | Radiology | 2634 Henry St, Augusta, GA 30904-4656 | 2006-06-21 |
1942836580 | David H. Riggans, Md PC | Radiology | 3651 Wheeler Rd, Augusta, GA 30909-6521 | 2020-03-16 |
1689167264 | Ivan Morales | Radiology | 1120 15th St, Augusta, GA 30912-0004 | 2018-06-08 |
1134412331 | Fresenius Vascular Care Augusta, LLC | Radiology | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-05-20 |
1073834131 | University Health Care Physicians LLC | Radiology | 1350 Walton Way, Augusta, GA 30901-2612 | 2010-06-11 |
1275737918 | Matthew David Givens | Radiology | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
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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.