THOMAS B GORE (NPI# 1639164874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639164874 |
| Entity Type | Individual |
| Full Name | THOMAS B GORE |
| Credential | M.D. |
| Practice Address |
1551 Doctors Dr Building 200 Lagrange GA 30240-4139 |
| Practice Telephone | 7068842641 |
| Practice Fax Number | 7068842353 |
| Mailing Telephone | 7068842641 |
| Mailing Fax Number | 7068842353 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
027553 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000304961A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1602 Vernon Rd Ste 300, Lagrange, GA 302404129 | 7062425100 | 7068122454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548196 | Thomas Orville Gore | Psychiatry & Neurology | 3302 34th St, Lubbock, TX 79410-3232 | 2005-09-19 |
| 1407343981 | Thomas Canyon Gore | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2018-04-19 |
| 1770511701 | Thomas W Gore | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-06-29 |
| Street Address |
1551 DOCTORS DR BUILDING 200 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548626 | Vivian M Hutton | Physician Assistant | 1551 Doctors Dr, Building 200, Lagrange, GA 30240-4139 | 2005-09-14 |
| 1225408297 | Erin Thompson Spinks | Nurse Practitioner | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2015-10-02 |
| 1609286608 | Cameron Bilbro Body | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2014-04-30 |
| 1275766545 | Brandy Leigh Yarbrough | Nurse Practitioner | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2009-09-02 |
| 1558592089 | West Georgia Medical Center Inc | Internal Medicine | 1551 Doctors Dr, Bldg 200, Lagrange, GA 30240-4139 | 2009-07-31 |
| 1225298029 | Salman Shirazhussein Fidahussein | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2008-06-15 |
| 1184890584 | Ariyo Oluwole Olobatoke | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2008-05-06 |
| 1023296811 | Alex K Harris | Physician Assistant | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2008-02-05 |
| 1922197045 | Chad M Sisk | Internal Medicine | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2006-10-12 |
| 1063407831 | John Robert Coggins Jr. | Specialist | 1551 Doctors Dr, Lagrange, GA 30240-4139 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1487061131 | Beacon Medical Group, Inc. | Internal Medicine | 2400 N Ventura Way, Lagrange, IN 46761-4101 | 2014-07-15 |
| 1578558714 | Alexander T Gedevanishvili | Internal Medicine | 1602 Vernon Rd Ste 300, Lagrange, GA 30240 | 2005-09-14 |
| 1801138045 | Heart & Vascular Care of Georgia PC | Internal Medicine | 505 Jenkins St, Lagrange, GA 30240-4225 | 2013-03-26 |
| 1558592089 | West Georgia Medical Center Inc | Internal Medicine | 1551 Doctors Dr, Bldg 200, Lagrange, GA 30240-4139 | 2009-07-31 |
| 1407091887 | Lagrange Cardiovascular Center LLC | Internal Medicine | 301 Medical Dr, Suite 506, Lagrange, GA 30240-4144 | 2008-12-12 |
| 1891738118 | Angampally G Rajeev | Internal Medicine | 1551 Doctors Drive, Bldg 200, Lagrange, GA 30240-4139 | 2006-06-14 |
| 1912949173 | James A Brennan | Internal Medicine | 303 Smith St, Clark-holder Clinic, P.a., Lagrange, GA 30240-2745 | 2006-06-12 |
| 1134188493 | Kathryn Amanda Mcfarland | Internal Medicine | 303 Smith St, Lagrange, GA 30240-2745 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
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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.