JUAN JAVIER SERVAT (NPI# 1255530762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255530762 |
| Entity Type | Individual |
| Full Name | JUAN JAVIER SERVAT |
| Credential | M.D. |
| Practice Address |
1429 Oglethorpe St Macon GA 31201-1512 |
| Mailing Address |
2472 Jett Ferry Rd Suite 400 #319 Dunwoody GA 30338-3059 |
| Practice Telephone | 7706044141 |
| Practice Fax Number | 7706044140 |
| Mailing Telephone | 7706044141 |
| Mailing Fax Number | 7706044140 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 4301095612 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care | |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
70909 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003141770A | 05 |
| Street Address |
1429 OGLETHORPE ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324200 | William G Taylor | Optometrist | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2005-05-23 |
| 1871829192 | Oculofacial Plastic Surgeons of Georgia, LLC | Plastic Surgery | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2009-10-21 |
| 1669483442 | Eric Bernat Baylin | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-08-10 |
| 1528032034 | Eye Designs Optical | Eyewear Supplier (Equipment, not the service) | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-14 |
| 1356315766 | Spencer F Maddox IIi | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-14 |
| 1730153099 | John C Ervin | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-14 |
| 1225002777 | Eye Center of Central Georgia, P.C. | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-13 |
| 1205800752 | Medical Eye Associates, Inc. | Clinic/Center | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-13 |
| 1457324154 | John A Page | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-12 |
| 1629041322 | Malcolm S Moore Jr. | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669483442 | Eric Bernat Baylin | Ophthalmology | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952804346 | Atlanta Oculofacial Plastic Surgeons PC | Ophthalmology | 755 Mount Vernon Hwy Ne Ste 210, Sandy Springs, GA 30328-4279 | 2018-03-13 |
| 1952841447 | Ophthalmic Plastic and Cosmetic Surgery, LLC. | Ophthalmology | 3280 Howell Mill Rd Nw, Suite 321, Atlanta, GA 30327-4111 | 2017-03-02 |
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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.