VIDALIA OB GYN (NPI# 1437356359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437356359 |
| Entity Type | Organization |
| Organization Name | VIDALIA OB GYN |
| Practice Address |
1707 Meadows Lane Vidalia GA 30474 |
| Practice Telephone | 9125381500 |
| Practice Fax Number | 9125381501 |
| Mailing Telephone | 9125381500 |
| Mailing Fax Number | 9125381501 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSEPH ALEXANDER RUTZ, JR. (PRESIDENT) |
| Authorized Official Telephone | 9125381500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 044832 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1707 MEADOWS LANE |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649338997 | John E Schoell | Internal Medicine | 1707 Meadows Lane, Suite E, Vidalia, GA 30474 | 2006-12-05 |
| 1316371792 | Vidalia Neurology Associates, LLC | Internal Medicine | 1707 Meadows Lane, Suite A, Vidalia, GA 30474-7200 | 2013-08-21 |
| 1689851198 | Vidalia Ent Associates, LLC | Otolaryngology | 1707 Meadows Lane, Suite C, Vidalia, GA 30474 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415132 | Oss Care & Consulting, LLC | Independent Medical Examiner | 166 Anderson St Se Ste 225, Marietta, GA 30060-1984 | 2020-01-01 |
| 1508346537 | Aja Mclemore | Independent Medical Examiner | 111 Rucker Ln Apt 1203, Statesboro, GA 30458-3323 | 2018-08-20 |
| 1740600998 | David S Silverstein | Independent Medical Examiner | 1770 Cedars Rd, Lawrenceville, GA 30045-6710 | 2014-04-25 |
| 1811435464 | Coffee County Hospitalist Physicians, LLC | Independent Medical Examiner | 1101 Ocilla Rd, Douglas, GA 31533-2207 | 2017-02-03 |
| 1013923218 | Tracy Lane | Independent Medical Examiner | 2221 Peachtree Rd Ne, Ste D658, Atlanta, GA 30309-1148 | 2006-07-31 |
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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.