ERIC STEVEN BOUR (NPI# 1548245913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548245913 |
| Entity Type | Individual |
| Full Name | ERIC STEVEN BOUR |
| Credential | MD |
| Practice Address |
5126 Hospital Dr Ne Covington GA 30014 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-100 Atlanta GA 30339-6150 |
| Practice Telephone | 7707867053 |
| Mailing Telephone | 7707867053 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 079719 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RR MEDICARE | P00378890 | 01 |
| SC | BCBS OF SC | 576007863190 | 01 |
| SC | GP2489 | 05 |
| Street Address |
5126 HOSPITAL DR NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196682 | Daniel T Riley | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2005-07-07 |
| 1306445069 | Marlee Malcom | Registered Nurse | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2020-10-22 |
| 1487292694 | Stella Royette Thomas | Registered Nurse | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-12-18 |
| 1013550177 | Anish Joseph | Anesthesiologist Assistant | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-10-22 |
| 1255891958 | Piedmont Newton Ekg Billing LLC | General Acute Care Hospital | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2019-03-20 |
| 1538639851 | Mary Kathryn Ward | Nurse Practitioner | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2018-11-29 |
| 1063981082 | Jamie Michelle Huff | Nurse Practitioner | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2018-11-20 |
| 1174065411 | Jace John Crawford | Physician Assistant | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-11-16 |
| 1013360932 | Hoda Daher | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-07-15 |
| 1063864445 | Sakina Peregrino-brimah | Internal Medicine | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087516 | Dorothy Lewis Md, LLC | Surgery | 52 Oaklawn Dr, Covington, LA 70433-4518 | 2017-08-01 |
| 1770834145 | Real Results Clinic LLC | Surgery | 606 W. 11th Ave., Suite B, Covington, LA 70433 | 2012-09-26 |
| 1063781326 | Susan Irving | Surgery | 15 Whispering Pine Dr, Covington, GA 30016-4294 | 2011-12-15 |
| 1275587883 | Karl Crawford Jonas Jr. | Surgery | 1995 Highway 51 South, Suite 204, Covington, TN 38019-3655 | 2006-05-19 |
| 1871564252 | Erica Y Scott | Surgery | 4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541 | 2006-02-01 |
| 1053312223 | John H Verhulst | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| 1881694388 | Steven R Whitworth | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2005-07-26 |
| 1154973360 | Lakeshore Surgical Associates of La | Surgery | 110 Lakeview Dr Ste 200, Covington, LA 70433-7511 | 2019-07-09 |
| 1487000899 | James W. Christopher, Md, LLC | Surgery | 7015 Highway 190 East Service Rd, Ste. 102, Covington, LA 70433-4960 | 2016-05-05 |
| 1962713537 | Pavilion Surgical Associates, LLC | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2010-06-29 |
| Find all providers in COVINGTON | ||||
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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.