THESSELON WARREN MONDERSON (NPI# 1689838286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689838286 |
| Entity Type | Individual |
| Full Name | THESSELON WARREN MONDERSON |
| Credential | MD |
| Practice Address |
200 Perry House Rd Fitzgerald GA 31750-8857 |
| Mailing Address |
Po Box 381037 Miami FL 33238-1230 |
| Practice Telephone | 2294247100 |
| Mailing Telephone | 3056962100 |
| Mailing Fax Number | 3056960025 |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME 101703 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1190 Nw 95th St, Suite 305, Miami, FL 331502063 | 3056962100 | 3056960025 |
| 357 Cargile Rd, Ocilla, GA 317743606 | 9125410500 |
| Street Address |
200 PERRY HOUSE RD |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1790329597 | James Benjamin Shiflett Jr. | Physical Therapist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2019-11-05 |
| 1912497314 | Emily Burch Howell | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2018-05-11 |
| 1053837617 | Tonya Lee Register | Nurse Practitioner | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2017-08-16 |
| 1659806297 | Hospital Authority of Ben Hill | Psychiatric Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2017-04-20 |
| 1255784955 | Kayla Phillips | Registered Nurse | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-07-18 |
| 1356703391 | Samantha Leyse | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2016-03-28 |
| 1124430020 | Dmc Physician Group LLC | Psychologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2014-05-27 |
| 1164790622 | Brittney Crumley Tomberlin | Speech-Language Pathologist | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-12-12 |
| 1700164274 | Phoebe Dorminy Medical Center, Inc. | Medicare Defined Swing Bed Unit | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2011-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
| 1497944565 | Michael S Shuler | Orthopaedic Surgery | 1765 Old West Broad Street, Building 2 Suite 200, Athens, GA 30606-2887 | 2007-10-15 |
| 1902963317 | Alain Arthur Czaykowsky | Orthopaedic Surgery | 920 River Centre Pl, Suite 100, Lawrenceville, GA 30043-7320 | 2007-01-03 |
| 1083723738 | T. Rex Orthopaedics, PC | Orthopaedic Surgery | 1014 Sycamore Dr Ste B, Decatur, GA 30030 | 2006-08-29 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
| 1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
| 1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
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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.