PHOEBE GASTROENTEROLOGY ASSOCIATES (NPI# 1659627131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659627131 |
Entity Type | Organization |
Organization Name | PHOEBE GASTROENTEROLOGY ASSOCIATES |
Practice Address |
2740 Ray Knight Way Ste 100 Albany GA 31707-0226 |
Practice Telephone | 2293120669 |
Mailing Telephone | 2293120669 |
Enumeration Date | 2012-08-02 |
Last Update Date | 2012-08-02 |
Authorized Official Name | ROBERT LAGESSE (SR VP PHYSICIAN SERVICES) |
Authorized Official Telephone | 2293121000 |
Is Organization Subpart | Y |
Parent Organization Name | PHOEBE PHYSICIAN GROUP INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
2740 RAY KNIGHT WAY STE 100 |
City | ALBANY |
State | GA |
Zip Code | 31707-0226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407252034 | Rachel S Butler | Nurse Practitioner | 2740 Ray Knight Way, Albany, GA 31707-0226 | 2014-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
Find all providers in zip 31707 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750754644 | Sarana Community Acupuncture Inc. | Clinic/Center | 970 San Pablo Ave, Albany, CA 94706-2010 | 2015-11-02 |
1861808966 | Catherine Macomber | Clinic/Center | 1430 Western Ave, Albany, NY 12203-3422 | 2014-07-09 |
1487083671 | Fastrack Urgent Care LLC | Clinic/Center | 2822 Nottingham Way, Albany, GA 31707-7629 | 2013-11-07 |
1639441801 | William Joseph Cromie | Clinic/Center | 157 Lancaster Street, Albany, NY 12210-1903 | 2012-02-03 |
1417279548 | Monarch Medical Group LLC | Clinic/Center | 1970 14th Ave Se Ste 120, Albany, OR 97322-8504 | 2010-02-16 |
1851520514 | Capitol Surgery Center LLC | Clinic/Center | 633 Waverly Dr Se, Albany, OR 97322-5078 | 2009-07-02 |
1477709871 | Active Family Chiropractic, PC | Clinic/Center | 3 Pine West Plz Ste 304, Washington Avenue Extension, Albany, NY 12205-5522 | 2008-08-18 |
1881755601 | Upper Hudson Planned Parenthood Inc. | Clinic/Center | 855 Central Ave., Albany, NY 12206 | 2006-12-13 |
1154406221 | Pearl Street Counseling Center, Inc. | Clinic/Center | 109 State St, Albany, NY 12207-1622 | 2006-10-26 |
1649727678 | Albany College of Pharmacy and Health Sciences | Clinic/Center | 106 New Scotland Ave, Department of Pharmacy Practice, Albany, NY 12208-3425 | 2016-09-07 |
Find all providers in ALBANY |
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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.