ALBANY VASCULAR SPECIALTIST CENTER, LLC (NPI# 1295009637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295009637 |
| Entity Type | Organization |
| Organization Name | ALBANY VASCULAR SPECIALTIST CENTER, LLC |
| Other Organization Name | DOERUN FAMILY MEDICINE |
| Practice Address |
128 West Broad Avenue Doerun GA 31744 |
| Mailing Address |
Po Box 71804 Albany GA 31708-1804 |
| Practice Telephone | 2297825227 |
| Practice Fax Number | 2297825228 |
| Mailing Telephone | 2294368535 |
| Mailing Fax Number | 2294321904 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | JOE H MORGAN III (PRESIDENT) |
| Authorized Official Telephone | 2294368535 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Doerun Family Medicine | Doing Business As Name - Organization |
| Street Address |
128 WEST BROAD AVENUE |
| City | DOERUN |
| State | GA |
| Zip Code | 31744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1770920829 | Mildred A Thomas | Assisted Living Facility | 810 Se Moultrie Road, Doerun, GA 31744 | 2013-05-30 |
| 1962846600 | Highway To Heaven LLC | Assisted Living Facility | 152 Edge Road, Doerun, GA 31744 | 2013-04-24 |
| 1639138423 | The Apothecary Ltc | Pharmacy | 128 West Broad Ave., Doerun, GA 31744 | 2006-03-21 |
| 1780879957 | Doerun Healthcare L.L.C. | Nurse Practitioner | 217 West Broad Ave, Doerun, GA 31744-0459 | 2007-09-11 |
| 1225087083 | Apothecary Inc | Pharmacy | 130 W Broad Ave, Doerun, GA 31744-0490 | 2006-05-09 |
| 1720536766 | Wendy Hayes | Contractor | 922 S Fain St, Doerun, GA 31744-5010 | 2016-09-20 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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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.