MR. TARAN BHOLA (NPI# 1780120923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780120923 |
| Entity Type | Individual |
| Full Name | MR. TARAN BHOLA |
| Credential | PA-C |
| Practice Address |
Winn Army Community Hospital 1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Mailing Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Practice Telephone | 1243569659 |
| Mailing Telephone | 9124356965 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
WINN ARMY COMMUNITY HOSPITAL 1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078522 | John W Kirkwood | Nurse Anesthetist, Certified Registered | Winn Army Community Hospital, Fort Stewart, GA 31314-5611 | 2005-07-21 |
| 1164036414 | Mona Glenn | Registered Nurse | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-09-03 |
| 1275142762 | Sonya Cotton | Social Worker | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31313 | 2020-07-30 |
| 1801405303 | Julia E Daniel | Audiologist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-30 |
| 1700495793 | Angel J Flournoy | Pharmacist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-27 |
| 1275142572 | Jordan A Mark | Nurse Anesthetist, Certified Registered | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-07-23 |
| 1841820586 | Dante Oliver | Pharmacist | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2020-01-22 |
| 1730654187 | Allison Lynn Duran | Nurse Practitioner | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2018-10-11 |
| 1477008191 | Gabriel David Morgan | Physical Therapist | Winn Army Community Hospital, 1061 Harmon Avenue, Fort Stewart, GA 31314-5641 | 2016-08-23 |
| 1366863532 | David R Powell | Family Medicine | Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | 2013-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1740739358 | Graham Taylor | Physician Assistant | 8435 Vanguard Rd., Fort Stewart, GA 31315 | 2016-09-23 |
| 1831136597 | Lori Michele Smith | Physician Assistant | 1061 Harmon Ave Ste1003, Winn Army Community Hospital, Fort Stewart, GA 31314-5611 | 2006-06-01 |
| 1396738357 | Rosemarie Casanova | Physician Assistant | 1061 Harmon Ave Ste 1d06, Fort Stewart, GA 31314-5641 | 2005-08-25 |
| 1093715708 | Thomas Lee Ryan | Physician Assistant | 1061 Harmon Ave., Ste, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 | 2005-07-22 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1215579685 | Nicholas Vetollis Ruggieri | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-10-17 |
| 1356901797 | Ryan P Shannon | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-06-18 |
| 1124586581 | John Long | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2019-03-05 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
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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.