DR. RENUKA MEHTA


Address: Mcg 1120 15th St, Augusta, GA 30912-0004
Phone: 7067214402

DR. RENUKA MEHTA (NPI# 1306955356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306955356
Entity Type Individual
Full Name DR. RENUKA MEHTA
Credential MD
Practice Address Mcg 1120 15th St
Augusta
GA 30912-0004
Mailing Address 1499 Walton Way
Suite 1400
Augusta
GA 30901-2602
Practice Telephone 7067214402
Practice Fax Number 7067217872
Mailing Telephone 7068630055
Enumeration Date 2006-08-30
Last Update Date 2012-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
MD.15244R LA Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
01063017 IN Allopathic & Osteopathic Physicians
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
049921 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC G49921 05
GA 000927121B 05

Office Location

Street Address MCG 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750351326 Richard J Cartie Pediatrics 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 2006-01-25
1205270543 Ashley Dodd Freeman Pediatrics 1120 15th St, Augusta, GA 30912-6805 2013-04-17
1225325384 Smitha Rajan Mathew Pediatrics 1120 15th St, Augusta, GA 30912-3957 2011-07-08
1457498750 Jose Raul Ponte Jr. Pediatrics 3675 J Dewey Gray Cir, Suite 300, Augusta, GA 30909-1868 2007-01-30
1477664928 Curt M Steinhart Pediatrics 1120 15th St, Augusta, GA 30912-0004 2006-08-31
1518077072 Lyle E. Fisher Jr. Pediatrics 1120 15th St, Augusta, GA 30912-0004 2006-08-30
1194739011 Mary L. Sheram Pediatrics 1120 15th St, Augusta, GA 30912-0004 2006-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275000358 Spring Heather Ou-tim Pediatrics 5461 Meridian Marks Rd Ste 540, Atlanta, GA 30342-3283 2018-10-26
1184980567 Meral M Patel Pediatrics 777 Hemlock St # 130, Macon, GA 31201-2102 2012-04-10
1477796951 Geoffrey Edward Mickells Pediatrics 5901-b Peachtree Dunwoody Rd, Suite B-420, Atlanta, GA 30328-7156 2009-04-13
1629064134 Samuel B. Edelman Pediatrics 710 Center Street, Columbus, GA 31901 2005-09-21
1225455793 Lisa Lima Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1020 2014-03-23
1265775159 Neelima Krishnapriya Marupudi Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2013-03-29
1114215431 Asaad G Beshish Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-5000 2011-07-20
1316238074 Nabihah R Mahmood Pediatrics 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 2011-04-28
1033437215 Brandon W Kirkland Pediatrics 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 2010-05-12
1942525183 Lauren M Hebert Pediatrics 4700 Waters Ave, Savannah, GA 31404 2010-03-31
Find all providers with the same taxonomy

Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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