BENJAMIN TURNER OLDHAM (NPI# 1770773764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770773764 |
Entity Type | Individual |
Full Name | BENJAMIN TURNER OLDHAM |
Credential | MD |
Practice Address |
1310 Brampton Ave Statesboro GA 30458-0851 |
Practice Telephone | 9128716206 |
Practice Fax Number | 9126818558 |
Mailing Telephone | 9128716206 |
Mailing Fax Number | 9126818558 |
Enumeration Date | 2007-07-26 |
Last Update Date | 2015-08-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 056210 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 992342914A | 05 | |
GA | MEDICAL LICENSE | 056210 | 01 |
Street Address |
1310 BRAMPTON AVE |
City | STATESBORO |
State | GA |
Zip Code | 30458-0851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891823530 | Tressa G Cheney | Nurse Practitioner | 1310 Brampton Ave, Statesboro, GA 30458-0851 | 2007-03-02 |
1720476237 | Betty Parrish | Specialist | 1310 Brampton Ave, Statesboro, GA 30458 | 2015-01-06 |
1750792008 | Chelsea J Mikell | Obstetrics & Gynecology | 1310 Brampton Ave, Statesboro, GA 30458 | 2014-05-08 |
1700161072 | Nikiya L Lewis | Nurse Practitioner | 1310 Brampton Ave, Statesboro, GA 30458-0851 | 2011-10-18 |
1912197815 | Dellarie L Shilling | Nurse Practitioner | 1310 Brampton Ave, Statesboro, GA 30458-0851 | 2007-07-26 |
1336345487 | Matthew Daniel Powellson | Internal Medicine | 1310 Brampton Ave, Statesboro, GA 30458-0851 | 2007-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
Find all providers in zip 30458 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316226855 | Todd Allen Md PC | Obstetrics & Gynecology | 1094 Bermuda Run, Statesboro, GA 30458-0858 | 2011-08-16 |
1790920908 | Barbara Williams, D.o., P.C. | Obstetrics & Gynecology | 1094 Bermuda Run Road, Statesboro, GA 30458 | 2008-12-03 |
1235187659 | James L Hiller | Obstetrics & Gynecology | 1094 Bermuda Run Rd, Statesboro, GA 30458 | 2006-05-05 |
1194718080 | George Alban Palmer | Obstetrics & Gynecology | 1012 Bermuda Run, Statesboro, GA 30458-0858 | 2005-08-25 |
1609877059 | Barbara Bostwick Williams | Obstetrics & Gynecology | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2005-08-09 |
1750792008 | Chelsea J Mikell | Obstetrics & Gynecology | 1310 Brampton Ave, Statesboro, GA 30458 | 2014-05-08 |
1780013292 | Magnolia Women's Healthcare, LLC | Obstetrics & Gynecology | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2013-11-05 |
1801007695 | East Georgia Womens Center | Obstetrics & Gynecology | 1012 Bermuda Run, Statesboro, GA 30458-0858 | 2007-05-24 |
1447209150 | Deborah Y Parker | Obstetrics & Gynecology | 1094 Bermuda Run Rd, Statesboro, GA 30458 | 2006-05-09 |
1053380592 | Ogeechee Ob-gyn, P.C. | Obstetrics & Gynecology | 1497 Fair Rd, Suite 300, Statesboro, GA 30458-0822 | 2006-03-16 |
Find all providers in STATESBORO |
City | STATESBORO |
Zip Code | 30458 |
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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.