DR. JOHN A SHIVDAT (NPI# 1376599746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376599746 |
| Entity Type | Individual |
| Full Name | DR. JOHN A SHIVDAT |
| Credential | D.O. |
| Practice Address |
1120 Morningside Dr Perry GA 31069-2906 |
| Mailing Address |
1074 Grand Oaks Gln Nw Marietta GA 30064-5423 |
| Practice Telephone | 4789881706 |
| Practice Fax Number | 4789881794 |
| Mailing Telephone | 7704240901 |
| Mailing Fax Number | 7275073618 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-11-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 47527 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE RAILROAD | P00630321 | 01 |
| NJ | 6848109 | 05 |
| Street Address |
1120 MORNINGSIDE DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975521 | Morningside Emergency Physicians LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2006-05-05 |
| 1831717511 | Houston Hospitalist Group LLC | Hospitalist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2020-07-09 |
| 1427679331 | Travis Polk | Specialist/Technologist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2020-05-01 |
| 1467873547 | Houston County Emergency Group, LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2013-12-17 |
| 1386089399 | Christina Woodall Easler | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2013-05-03 |
| 1881972768 | Juliet Grace Whitten | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2011-07-27 |
| 1861715062 | Georgia Anesthesia Partners LLC | Anesthesiology | 1120 Morningside Dr, Perry, GA 31069-2906 | 2010-03-03 |
| 1164682001 | William Fred Moss | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2008-06-13 |
| 1063627412 | Vara Yvonne Hitchcock | Specialist/Technologist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-05-11 |
| 1700904356 | Sandra N. Johnson | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975521 | Morningside Emergency Physicians LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2006-05-05 |
| 1902393127 | Emergency Staffing Solutions of Perry LLC | Emergency Medicine | 501 N 14th St, Perry, OK 73077-5021 | 2018-04-13 |
| 1467873547 | Houston County Emergency Group, LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2013-12-17 |
| 1689948200 | Florida Emergency Consultants LLP | Emergency Medicine | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2012-02-29 |
| 1154605954 | Jamie Knecht | Emergency Medicine | 501 N 14th St, Perry, OK 73077-5021 | 2011-09-28 |
| 1922253665 | Dmh Emergency Physician Group, LLC | Emergency Medicine | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2008-11-21 |
| 1285794420 | James Godwin | Emergency Medicine | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2006-12-11 |
| 1457361180 | Ramel Failma | Emergency Medicine | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2006-08-08 |
| 1285679423 | Perry Emergency Physicians LLC | Emergency Medicine | 333 N Byron Butler Pkwy, Emergency Department, Perry, FL 32347-2300 | 2006-06-19 |
| 1578504791 | Glenda H. Davis | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2006-06-09 |
| Find all providers in PERRY | ||||
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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.