JONATHAN SHADER (NPI# 1689038986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689038986 |
| Entity Type | Individual |
| Full Name | JONATHAN SHADER |
| Practice Address |
1120 15th St # Ba-2720 Augusta GA 30912-3983 |
| Practice Telephone | 7067211160 |
| Practice Fax Number | 7067211158 |
| Mailing Telephone | 7067211160 |
| Mailing Fax Number | 7067211158 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 10760 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1120 15TH ST # BA-2720 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868851 | Jordan Lee Herring | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-1340 | 2018-04-12 |
| 1366946782 | Christopher Kuang | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-1101 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1467814830 | David Jay Felsted | Ophthalmology | 1120 15th St Ste Ba-2701, Augusta, GA 30912-0004 | 2016-03-24 |
| 1194914580 | Margaret O. Green,m.d.,p.c. | Ophthalmology | 1303 Dantignac St Ste 2100, Augusta, GA 30901-2777 | 2007-10-22 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1275699639 | Siras Allan Stocks | Ophthalmology | 3535 Stevens Way, Augusta, GA 30907-9564 | 2006-12-29 |
| 1164583944 | James Ace Brown | Ophthalmology | 728 Ravenel Rd, Augusta, GA 30909-4524 | 2006-12-13 |
| 1568475804 | Robert J Thompson | Ophthalmology | 1 Freedom Way # 224, Augusta, GA 30904-6258 | 2006-08-15 |
| 1467418954 | Horizon Eye Center Inc | Ophthalmology | 1212 Augusta West Pkwy, Ste A1, Augusta, GA 30909-1808 | 2006-04-24 |
| 1285602672 | Southern Eye Clinic P.C. | Ophthalmology | 1306 Troupe St, Augusta, GA 30904-4755 | 2006-03-10 |
| 1881660074 | Maroulla Gleaton | Ophthalmology | 227 Eastern Ave, Augusta, ME 04330-5951 | 2006-02-27 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on JONATHAN SHADER.
| 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.