WELLSTAR INTERNAL MEDICINE AT PAULDING, LLC (NPI# 1760420228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760420228 |
| Entity Type | Organization |
| Organization Name | WELLSTAR INTERNAL MEDICINE AT PAULDING, LLC |
| Practice Address |
290 Merchants Sq Suite F Dallas GA 30132-5029 |
| Practice Telephone | 6783639225 |
| Practice Fax Number | 6783637916 |
| Mailing Telephone | 6783639225 |
| Mailing Fax Number | 6783637916 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
290 MERCHANTS SQ SUITE F |
| City | DALLAS |
| State | GA |
| Zip Code | 30132-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841732674 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 290 Merchants Sq, Suite C, Dallas, GA 30132-0987 | 2016-11-10 |
| 1265587059 | Cobb Eye Center, LLP | Ophthalmology | 290 Merchants Sq, Suite I, Dallas, GA 30132-0987 | 2007-01-24 |
| 1588683916 | Frank A Terracina Jr. | Dentist | 290 Merchants Sq, Suite A, Dallas, GA 30132-5029 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398526 | Away Lice Removal Specialists, LLC | Homeopath | 531 Hardee Street, Dallas, GA 30132 | 2019-04-04 |
| 1306313184 | Jessica Ramskogler | Counselor | 168 N. Johnson St, Suite 304, Dallas, GA 30132 | 2018-10-30 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1457870099 | Dynamic Xray Solutions LLC | Clinic/Center | 77 Wellsey Way, Dallas, GA 30132 | 2017-09-14 |
| 1528438413 | Georgia Dental Professionals, PC | Dentist | 8709 Dallas Acworth Hwy, Dallas, GA 30132 | 2015-10-05 |
| 1013256130 | Paulding Auto Sales | Private Vehicle | 210 E Memorial Dr, Dallas, GA 30132 | 2013-02-08 |
| 1255613410 | Matthew Lerandal Talley | Chiropractor | 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 | 2011-09-14 |
| 1003109422 | Ashlyn Drugs | Pharmacy | 1160 Old Harris Rd, Dallas, GA 30132 | 2011-05-18 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1578878963 | Karen Parris | Speech-Language Pathologist | 283 Red Hawk Way, Dallas, GA 30132 | 2010-08-10 |
| Find all providers in zip 30132 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1629609060 | Good4u Family Clinic Dallas Fort Worth (dfw) Pllc | Internal Medicine | 1417 N Cockrell Hill Rd Ste 101a, Dallas, TX 75211-1308 | 2020-02-03 |
| 1639598725 | Henry Brown Mobley | Internal Medicine | 3416 Cornell Ave., Dallas, TX 75205 | 2014-04-16 |
| 1386959906 | Gunjan Kant | Internal Medicine | 6901 Snider Plaza, #130, Dallas, TX 75205-5649 | 2010-08-09 |
| 1942407572 | Amy Amend Johnson | Internal Medicine | 5939 Harry Hines Blvd Floor 8, Suite 124, Dallas, TX 75390-8889 | 2007-06-28 |
| 1174729503 | North Dallas Internal Medicine | Internal Medicine | 8210 Walnut Hill Lane Ste 416, Dallas, TX 75231 | 2007-06-22 |
| 1992801567 | David Charles Hales | Internal Medicine | 4500 S Lancaster Rd # 18, Dallas, TX 75216-7167 | 2006-09-14 |
| 1750335097 | Diana R Kerwin | Internal Medicine | 8198 Walnut Hill Ln Ste 100, Dallas, TX 75231-4316 | 2006-05-20 |
| 1497395461 | Fleschler & Phillips Medical Group LLC | Internal Medicine | 8230 Walnut Hill Ln Ste 800, Dallas, TX 75231-4491 | 2020-01-08 |
| 1780179267 | Aveo Medical Group - North Texas Pllc | Internal Medicine | 8600 Skyline Dr, Suite 1000, Dallas, TX 75243 | 2018-06-26 |
| 1013355916 | Jessica H Voit | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2013-06-13 |
| Find all providers in DALLAS | ||||
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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.