DR. ALFRED DINGLASAN LUA (NPI# 1790913002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790913002 |
| Entity Type | Individual |
| Full Name | DR. ALFRED DINGLASAN LUA |
| Credential | M.D. |
| Practice Address |
13570 N Main St Trenton GA 30752-2012 |
| Practice Telephone | 7069562665 |
| Practice Fax Number | 7066572958 |
| Mailing Telephone | 7069562665 |
| Mailing Fax Number | 7066572958 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD-16536 | HI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MDR-5674 | HI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
071722 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000211956A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 475 Philip Blvd, Ste 100, Lawrenceville, GA 300468737 | 7709953300 |
| Street Address |
13570 N MAIN ST |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780649012 | Lucinda S Hill | Family Medicine | 13570 N Main St, Trenton, GA 30752-2012 | 2006-04-19 |
| 1780208835 | Shalane Marie Lamb | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2020-06-04 |
| 1518593151 | Felix D Cruz | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2020-03-16 |
| 1871152587 | Anna Katharine Horne | Counselor | 13570 N Main St, Trenton, GA 30752-2012 | 2019-06-07 |
| 1962997189 | Katharine Renee Scott | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2018-06-29 |
| 1750829040 | Amy Nicole Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2017-02-07 |
| 1407210107 | Danielle C Townsend | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-08 |
| 1306209788 | Anna E Thomas | Dietitian, Registered | 13570 N Main St, Trenton, GA 30752-2012 | 2016-04-01 |
| 1093189540 | Jenny Scott | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-11-20 |
| 1245600725 | Sheena Anderson-finch | Nurse Practitioner | 13570 N Main St, Trenton, GA 30752-2012 | 2015-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| 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 |
|---|---|---|---|---|
| 1366511123 | Windsor Internal Medicine & Geriatrics | Internal Medicine | 1330 Rev S Howard Woodson Jr Way, Trenton, NJ 08638-4018 | 2006-11-07 |
| 1306215496 | St Francis Medical Center | Internal Medicine | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1962827683 | Bhanwarlal Chowdhury Md Pa | Internal Medicine | 1757 S Broad St, Trenton, NJ 08610-6007 | 2014-03-04 |
| 1447453329 | Anusuya Jeyakumar | Internal Medicine | 1330 Rev S Howard Woodson Jr Way, Trenton, NJ 08638-4018 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
| 1497155469 | Golden Geriatrics LLC | Internal Medicine | 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 | 2014-08-27 |
| 1821361577 | Senior Care Office, LLC | Internal Medicine | 2020 Beverly Road, Gainesville, GA 30501-2037 | 2012-02-10 |
| 1609162965 | Linduc PC | Internal Medicine | 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 | 2011-06-24 |
| 1447574918 | David L. Anders, M.d., P.C. | Internal Medicine | 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 | 2010-03-26 |
| 1639319502 | New Snellville Clinic | Internal Medicine | 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 | 2009-03-04 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1912165192 | Aristotle Cochon | Internal Medicine | 955 Lynn Dr, Waycross, GA 31503-8590 | 2008-05-25 |
| 1972792265 | Perimeter Medical Associates,p.c. | Internal Medicine | 3775 N. Druid Hills Rd, Decatur, GA 30033 | 2007-10-23 |
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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.