DR. JILL ELIZABETH EUTENEUER (NPI# 1790076420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076420 |
| Entity Type | Individual |
| Full Name | DR. JILL ELIZABETH EUTENEUER |
| Credential | M.D. |
| Practice Address |
8954 Hospital Dr Douglasville GA 30134 |
| Mailing Address |
8954 Hospital Dr Douglasville GA 30134-2272 |
| Practice Telephone | 2022622271 |
| Mailing Telephone | 2022622271 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 74744 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD042250 | DC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 74744 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
8954 HOSPITAL DR |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174905 | Eleanor Glaspy-benton | Obstetrics & Gynecology | 8954 Hospital Dr, Suite 120-a, Douglasville, GA 30134-2272 | 2005-09-14 |
| 1194361899 | Danna Michel | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-11-18 |
| 1144865544 | Wanda Yvonne Wilson-hightower | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-11-10 |
| 1376184630 | Kyle Robert Schneider | Physician Assistant | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-10-07 |
| 1174187967 | Elizabeth Pressler Aaron | Physician Assistant | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2019-04-26 |
| 1245744176 | Michael D Mccray | Nurse Anesthetist, Certified Registered | 8954 Hospital Dr, Douglasville, GA 30134 | 2017-11-30 |
| 1891205373 | Mackenzie Lurene Mashburn Grillo | Nurse Practitioner | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2017-10-10 |
| 1194248385 | Steven Derek Harris | Anesthesiology | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2017-07-19 |
| 1306367164 | Advent Anesthesia Partners, LLC | Anesthesiology | 8954 Hospital Dr, Anesthesia Dept, Douglasville, GA 30134-2272 | 2017-07-03 |
| 1578917993 | Naga Ratnakar Davuluri | Anesthesiology | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068109 | An-phuong Thuy Le | Pediatrics | 6095 Professional Pkwy Ste 100, Douglasville, GA 30134-5607 | 2008-06-28 |
| 1366569485 | Bi-county Pediatrics | Pediatrics | 6128 Prestley Mill Rd Ste D, Douglasville, GA 30134-5622 | 2007-03-23 |
| 1831289842 | Cornerstone Pediatrics, Inc. | Pediatrics | 8601 Baldwin Pkwy, Suites 2a & 2b, Douglasville, GA 30134-5625 | 2006-10-13 |
| 1417914201 | Raju J Kulangara | Pediatrics | 6084 Professional Parkway, Suite A, Douglasville, GA 30134 | 2006-04-27 |
| 1598721649 | Candan Ozbek | Pediatrics | 9280 Highway 5, Ste A, Douglasville, GA 30134 | 2006-04-25 |
| 1639142003 | Alicia M Landry | Pediatrics | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135 | 2006-02-08 |
| 1013908342 | Abolhassan Yamin | Pediatrics | 8503 Campbellton St, Douglasville, GA 30134-1822 | 2005-11-04 |
| 1407846744 | Marilyn B Kaufman | Pediatrics | 6095 Professional Parkway, Suite 100, Douglasville, GA 30134 | 2005-10-27 |
| 1699152918 | Netochukwu Okafor | Pediatrics | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2015-05-06 |
| 1861812588 | Shaleak Brown | Pediatrics | 6875 Douglas Blvd, Douglasville, GA 30135 | 2014-04-21 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
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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.