IRIS CASTRO-REVOREDO MD INC (NPI# 1588924252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588924252 |
| Entity Type | Organization |
| Organization Name | IRIS CASTRO-REVOREDO MD INC |
| Practice Address |
13957 Woolsey Rd Hampton GA 30228-2246 |
| Practice Telephone | 7705107866 |
| Practice Fax Number | 7706031122 |
| Mailing Telephone | 7705107866 |
| Mailing Fax Number | 7706031122 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | IRIS A CASTRO-REVOREDO (OWNER) |
| Authorized Official Telephone | 7705107866 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 56984 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
13957 WOOLSEY RD |
| City | HAMPTON |
| State | GA |
| Zip Code | 30228-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720506231 | O'reilly Comprehensive Dermatology, Inc. | Dermatology | 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 | 2017-09-05 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| Find all providers in zip 30228 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1952718520 | Kashmal Patel | Internal Medicine | 49 W Mercury Blvd, Hampton, VA 23669-2508 | 2014-07-16 |
| 1962812396 | Sabita R Sarkar | Internal Medicine | 100 Emancipation Dr Hampton Va 23667, Hampton, VA 23667-2237 | 2014-05-07 |
| 1215220389 | Mamta Ojha | Internal Medicine | 4001 Coliseum Dr Ste 300, Hampton, VA 23666-6257 | 2011-05-24 |
| 1477888659 | Theodore R Reiff | Internal Medicine | 2 Diamond Hill Rd, Hampton, VA 23666-6009 | 2009-10-06 |
| 1588894455 | Thomas Michael Shea | Internal Medicine | 37 Diller Way, Hampton, NJ 08827-2533 | 2009-07-24 |
| 1588824072 | Jennifer Christiansen | Internal Medicine | 428 Lafayette Rd, Apt 101, Hampton, NH 03842-2268 | 2008-06-10 |
| 1073715736 | William Edward Brown IIi | Internal Medicine | 6 Manhattan Sq Ste 100, Hampton, VA 23666-5846 | 2007-06-04 |
| 1356468466 | Abdul H. Jamaludeen, Md | Internal Medicine | 441 Algonquin Rd, Hampton, VA 23661-1515 | 2007-03-23 |
| 1326124884 | Anacleto Gamit Gallanosa | Internal Medicine | 39 Timberline Drive, Hampton, VA 23666 | 2006-10-27 |
| 1184635492 | William A Franklin Jr. | Internal Medicine | 2110 Hartford Rd, Suite A, Hampton, VA 23666-2409 | 2006-08-11 |
| Find all providers in HAMPTON | ||||
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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.