ROOSEVELT J STALLINGS


Address: 2320 Wrightsboro Rd, Augusta, GA 30904-6233
Phone: 7067377922

ROOSEVELT J STALLINGS (NPI# 1578571758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578571758
Entity Type Individual
Full Name ROOSEVELT J STALLINGS
Credential M.D., F.A.C.S
Practice Address 2320 Wrightsboro Rd
Augusta
GA 30904-6233
Practice Telephone 7067377922
Practice Fax Number 7067377968
Mailing Telephone 7067377922
Mailing Fax Number 7067377968
Enumeration Date 2006-08-04
Last Update Date 2007-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086X0206X Surgery
Specialization: Surgical Oncology
13372 SC Allopathic & Osteopathic Physicians
Y 2086X0206X Surgery
Specialization: Surgical Oncology
029298 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC GP29298 05
GA 00349907B 05

Office Location

Street Address 2320 WRIGHTSBORO RD
City AUGUSTA
State GA
Zip Code 30904-6233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851580575 West Augusta Surgical Associates Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2007-10-18
1083211502 Grays Group, LLC Counselor 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2020-10-07
1619372398 Kmc Surgical LLC Specialist 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2014-10-24
1497159321 Rds Surgical LLC Specialist 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2014-10-21
1285963447 Samana Zulu Md Facs LLC Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2009-12-17
1063749299 Csra General and Oncology Surgical LLC Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2009-11-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518423706 Lawren Murray Tachias Registered Nurse 950 15th Street Downtown, Augusta, GA 30904 2019-02-13
1457851842 Heba Ahmed Pharmacist 912 15th Street, Augusta, GA 30904 2018-02-13
1124552690 Jenny Liles Student in an Organized Health Care Education/Training Program 1004 Chafee Ave, Augusta, GA 30904 2017-04-11
1932640836 Claudia Crawford Student in an Organized Health Care Education/Training Program 2624 Oakland Ave., Augusta, GA 30904 2017-03-13
1801240528 F. Marion Durst IIi Dmd PC Clinic/Center 2325 Washington Road, Augusta, GA 30904 2016-04-19
1689031296 Teresa Maria Martin Counselor 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 2016-01-27
1598122269 Jillian Wilkerson Counselor Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 2016-01-26
1760855241 Chase King Occupational Therapist 1735 Berkeley Rd, Augusta, GA 30904 2015-11-05
1962832246 April Underwood Fox Physician Assistant 1417 Pendleton Rd, Augusta, GA 30904 2013-11-22
1861734378 John Graham Theisen Obstetrics & Gynecology 810 Chafee Avenue, Augusta, GA 30904 2013-03-22
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Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851580575 West Augusta Surgical Associates Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2007-10-18
1093924409 Taranjit Kaur Arora Surgery 1120 15th St Ste Bi1056, Augusta, GA 30912-0001 2007-05-22
1063749299 Csra General and Oncology Surgical LLC Surgery 2320 Wrightsboro Rd, Augusta, GA 30904-6233 2009-11-09
1093927113 Matthew Salvatore Pugliese Surgery 818 St Sebastian Way, Ste 104, Augusta, GA 30901 2007-05-03
1346386364 Karen A Yeh, M.d., LLC Surgery 2258 Wrightsboro Rd, Suite 430, Augusta, GA 30904-4887 2007-01-29
1396846564 Daniel Albo Surgery 1120 15th St, Augusta, GA 30912-0004 2006-09-26
1093746984 Edward J. Kruse Surgery 1120 15th St, Augusta, GA 30912-0004 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750540233 Shishir Kumar Maithel Surgery 101w Ponce De Leon Ave, Decatur, GA 30030-2528 2008-06-09
1942498050 The Breast Care Team, PC Surgery 130 Riverstone Ter, Suite 101, Canton, GA 30114-1702 2007-10-15
1902003684 Nicole Kounalakis Surgery 980 Johnson Fy Rd Ne Ste 940a, Atlanta, GA 30342-1609 2007-06-27
1457401630 Anita Johnson Surgery 120 N Medical Pkwy Bldg 100, Suite 201, Woodstock, GA 30189-7062 2007-01-11
1780746289 Cletus Anthony Arciero Surgery 1364 Clifton Road, Ne, Emory University Hospital, Atlanta, GA 30322 2006-12-14
1023103165 Cancer Care Pavilion Inc Surgery 225 Candler Dr., Ste 224, Savannah, GA 31405 2006-10-04
1083634067 William Wood Surgery 1327 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-07-20
1215932041 Arnold Michael Conforti Surgery 800 1st St Ste 240, Macon, GA 31201-8300 2005-06-17
1497364749 Bariatric and Minimally Invasive Surgical Institute Surgery 1105 Upper Hembree Rd Ste A, Roswell, GA 30076-0912 2020-07-23
1508144981 Provident Health Surgical Associates Surgery 4700 Waters Ave, Suite 403, Savannah, GA 31404-6220 2011-08-02
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Competitor

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City AUGUSTA
Zip Code 30904

Improve Information

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Dataset Information

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.

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