DR. WILLIAM MATTHEW VASSY (NPI# 1558329367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558329367 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MATTHEW VASSY |
| Credential | M.D. |
| Practice Address |
1211 Sherwood Park Dr Ne Ste A Gainesville GA 30501-3444 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7702193202 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01062118A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
84759 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200822770 | 05 | |
| IN | RAILROAD MEDICARE | P00346020 | 01 |
| IN | ANTHEM BC/BS | 000000480122 | 01 |
| KY | 64123482 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 Mary St, Suite 520, Evansville, IN 477101682 | 8124248231 | 8124358794 |
| 743 Spring St Ne, Gainesville, GA 305013715 | 7702199000 |
| Street Address |
1211 SHERWOOD PARK DR NE STE A |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706583 | Travis Andrew Ford | Physician Assistant | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2020-03-23 |
| 1265072896 | Katrina Marie Natale Parker | Registered Nurse | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2020-01-12 |
| 1417425042 | Kelly-ann Peters | Physician Assistant | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501 | 2018-11-13 |
| 1144796210 | Katie Jo Wacker | Physician Assistant | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2018-10-16 |
| 1548749575 | Kelsey Bradford | Registered Nurse | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2018-08-10 |
| 1710407291 | Tonya Adams Scott | Nurse Practitioner | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501 | 2017-06-26 |
| 1801248489 | Adam D. Smith | Nurse Practitioner | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2016-07-07 |
| 1174966337 | Timothy John Stevens | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2013-04-08 |
| 1700166428 | Seth E. Enterline | Physician Assistant | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2011-08-25 |
| 1295056067 | Cecil Elsmond Brown Jr. | Surgery | 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501-3444 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503837 | Gregory R Strauther | Surgery | 200 S Enota Dr Ne, Suite 150, Gainesville, GA 30501-3473 | 2005-07-21 |
| 1841583119 | Brian H Gibson | Surgery | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2011-05-19 |
| 1801062773 | Nathan Joseph Creel | Surgery | 743 Spring St Ne, Gainesville, GA 30501-3715 | 2008-05-01 |
| 1285632828 | Robert S. Smith | Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-6839 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192424 | Nathan John Klingensmith | Surgery | 69 Jesse Hill Jr Drive, Se, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 | 2012-04-03 |
| 1306928809 | Kevin J Farrell | Surgery | 101 West Ponce Deleon Ave, Emory Medical Care Foundation Ste 331, Decatur, GA 30030 | 2006-10-20 |
| 1699065573 | Wellstar Medical Group, LLC | Surgery | 55 Whitcher St Ne, Suite 130, Marietta, GA 30060-1156 | 2011-04-13 |
| 1710283460 | Malcolm Ingram Goodchild | Surgery | 2737 Warm Springs Rd, Building A, Columbus, GA 31904-6859 | 2011-01-28 |
| 1215248604 | James G Boron | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2010-06-30 |
| 1427377043 | James Clifton Haynes | Surgery | 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 | 2010-05-21 |
| 1700047784 | Keren Aviva Bashan-gilzenrat | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2008-06-22 |
| 1790946762 | Katherine Kohler | Surgery | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-06-22 |
| 1184898223 | Nathan Michael Polite | Surgery | 55 Whitcher St Ne, Suite 130, Marietta, GA 30060-1155 | 2008-04-18 |
| 1205021201 | Mitchell Chaar | Surgery | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.