PENN TECK DIAGNOSTICS INC (NPI# 1326139627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326139627 |
| Entity Type | Organization |
| Organization Name | PENN TECK DIAGNOSTICS INC |
| Practice Address |
820 St. Sebastian Way Suite 2b Augusta GA 30901 |
| Practice Telephone | 7067226612 |
| Practice Fax Number | 7067225057 |
| Mailing Telephone | 7067226612 |
| Mailing Fax Number | 7067225057 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | MR. WEEMS R PENNINGTON JR. (PRESIDENT) |
| Authorized Official Telephone | 7067226612 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
014977 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPA518 | 05 | |
| GA | 00094179C | 05 |
| Street Address |
820 ST. SEBASTIAN WAY, SUITE 2B |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| 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 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699164657 | Georgia Physicians of Cardiology, LLC | Nuclear Medicine | 999 Peach Street Ne, Ste 850, Atlanta, GA 30309-3964 | 2015-01-14 |
| 1871756155 | Fidias Eduardo De Leon | Nuclear Medicine | 3576 Highway 138 Se Ste A, Stockbridge, GA 30281-7822 | 2008-07-07 |
| 1245389006 | Collins Cardiology | Nuclear Medicine | 182 Perry House Rd Ste D, Fitzgerald, GA 31750-8721 | 2007-01-10 |
| 1477547784 | Anne Constania Bullock | Nuclear Medicine | 229 Peachtree St Ne Ste 1200, Atlanta, GA 30303 | 2005-09-01 |
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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.