GEORGE A AYDELOTT (NPI# 1841296019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841296019 |
Entity Type | Individual |
Full Name | GEORGE A AYDELOTT |
Credential | M.D. |
Practice Address |
3560 Delaware St Ste 209 Beaumont TX 77706-3059 |
Practice Telephone | 4098993682 |
Practice Fax Number | 4098980834 |
Mailing Telephone | 4098993682 |
Mailing Fax Number | 4098980834 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2011-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
J0432 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | RAILROAD-MEDICARE | P00152144 | 01 |
TX | 045187404 | 05 |
Street Address |
3560 DELAWARE ST STE 209 |
City | BEAUMONT |
State | TX |
Zip Code | 77706-3059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265722656 | James Dimaala | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2011-04-19 |
1871818740 | Ankitkumar N Shah | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2010-04-02 |
1184888638 | Jasper Radiology Associates PC | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2008-07-14 |
1417041237 | Daniel C Karnicki | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-10-03 |
1255347340 | Raleigh Francis Johnson IIi | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-07-31 |
1952325573 | Crawford Andrews & Davis Ptr | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-07-27 |
1871527028 | Prasad Devabhaktuni | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-07-11 |
1710935598 | Sandy Thwin | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
Find all providers in zip 77706 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952626137 | Faculty Medical Group of Llusm | Radiology | 81 Highland Springs Ave Ste 102, Beaumont, CA 92223-3170 | 2010-03-31 |
1598811143 | Brian P Radcliffe | Radiology | 6375 Ellington Ln, Beaumont, TX 77706-4045 | 2007-01-26 |
1477593002 | Rex Jennings | Radiology | 3560 Delaware Street, Beaumont, TX 77706 | 2006-06-08 |
1447290655 | Thomas E. Gillespie | Radiology | 3560 Delaware Street, Suite 209, Beaumont, TX 77706 | 2006-06-07 |
1538165790 | Stephen N Cherewaty | Radiology | 25 N 11th St, Beaumont, TX 77702-2224 | 2005-06-22 |
1568089951 | Karen Elizondo | Radiology | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-07-01 |
1952833717 | Coastal Imaging Associates, Pllc | Radiology | 3080 College St, Beaumont, TX 77701-4606 | 2017-03-31 |
1609210129 | Charles Gresham Rose Stoneburner Jr. | Radiology | 3080 College St, Beaumont, TX 77701-4606 | 2013-04-26 |
1730467366 | Brent Mainwaring Md Pa | Radiology | 3405 College St, Beaumont, TX 77701 | 2011-08-01 |
1265722656 | James Dimaala | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2011-04-19 |
Find all providers in BEAUMONT |
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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.