WINDER INTERNAL MEDICINE AND GERIATRICS CENTER PC (NPI# 1447573845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447573845 |
Entity Type | Organization |
Organization Name | WINDER INTERNAL MEDICINE AND GERIATRICS CENTER PC |
Practice Address |
30 Satellite Dr Suite 100 Winder GA 30680-6211 |
Practice Telephone | 7705860310 |
Practice Fax Number | 7705860312 |
Mailing Telephone | 7705860310 |
Mailing Fax Number | 7705860312 |
Enumeration Date | 2010-03-12 |
Last Update Date | 2014-02-19 |
Authorized Official Name | DR. RASHA G AL SAMARA (PRESIDENT) |
Authorized Official Telephone | 7705860310 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
063592 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICAL LICENSE | 063592 | 01 |
Street Address |
30 SATELLITE DR SUITE 100 |
City | WINDER |
State | GA |
Zip Code | 30680-6211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740480193 | Rasha Al Samara | Internal Medicine | 30 Satellite Dr, Ste 100, Winder, GA 30680-6211 | 2007-07-24 |
1710358502 | Stephanie Kutchback | Nurse Practitioner | 30 Satellite Dr, Winder, GA 30680-6211 | 2015-10-19 |
1194048561 | Pulmonary and Sleep Specialists of Northeast Georgia, PC | Internal Medicine | 30 Satellite Dr, Suite 200, Winder, GA 30680-6211 | 2010-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326520776 | Alexandrea Hosch | Specialist/Technologist | 474 Lisa Circle, Winder, GA 30680 | 2018-09-02 |
1427574185 | Kristen Layfield Harbin | Dietitian, Registered | 827 Jefferson Hwy, Winder, GA 30680 | 2017-08-15 |
1417485715 | Staci Harwell Tebbetts | Optometrist | 279 N Broad St Ste C, Winder, GA 30680 | 2017-05-31 |
1609234947 | Carmichaels Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 289 N Broad St, Winder, GA 30680 | 2016-02-02 |
1699140434 | Chee Vang | Physical Therapy Assistant | 1012 Bowman Way, Winder, GA 30680 | 2015-12-04 |
1518361989 | Usrc Winder, LLC | Clinic/Center | 429 Loganville Hwy Ste 105-109, Winder, GA 30680 | 2014-10-14 |
1871901090 | Carol Lumpkin | Nurse Practitioner | 15 Porter St East, Winder, GA 30680 | 2014-07-31 |
1548501851 | Jennifer Won | Dentist | 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 | 2013-03-12 |
1801041595 | Joan Theresa James | Obstetrics & Gynecology | 137 W Athens St Ste 103, Winder, GA 30680 | 2008-11-21 |
1669636767 | Lee Lindsey Bleshoy | Nurse Practitioner | 133 W Athens St Ste A, Winder, GA 30680 | 2008-07-17 |
Find all providers in zip 30680 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
1497155469 | Golden Geriatrics LLC | Internal Medicine | 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 | 2014-08-27 |
1821361577 | Senior Care Office, LLC | Internal Medicine | 2020 Beverly Road, Gainesville, GA 30501-2037 | 2012-02-10 |
1609162965 | Linduc PC | Internal Medicine | 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 | 2011-06-24 |
1447574918 | David L. Anders, M.d., P.C. | Internal Medicine | 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 | 2010-03-26 |
1639319502 | New Snellville Clinic | Internal Medicine | 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 | 2009-03-04 |
1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
1912165192 | Aristotle Cochon | Internal Medicine | 955 Lynn Dr, Waycross, GA 31503-8590 | 2008-05-25 |
1972792265 | Perimeter Medical Associates,p.c. | Internal Medicine | 3775 N. Druid Hills Rd, Decatur, GA 30033 | 2007-10-23 |
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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.