MR. TIMOTHY J PARDOE (NPI# 1861483877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861483877 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J PARDOE |
| Credential | P.A.-C. |
| Practice Address |
30 Buchanan Byp Buchanan GA 30113-4924 |
| Practice Telephone | 7706468281 |
| Practice Fax Number | 7706463579 |
| Mailing Telephone | 7706468281 |
| Mailing Fax Number | 7706463579 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003610 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100002181A | 05 |
| Street Address |
30 BUCHANAN BYP |
| City | BUCHANAN |
| State | GA |
| Zip Code | 30113-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865197 | Tiffanie Webb Turner | Nurse Practitioner | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2019-11-14 |
| 1841700382 | Marni Bell Federer | Nurse Practitioner | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2017-10-11 |
| 1811282346 | Johannes D Engelbrecht | Family Medicine | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2011-06-13 |
| 1003020967 | Denis Morin | Clinic/Center | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2007-05-10 |
| 1689770414 | Denis Morin | Clinic/Center | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2006-09-16 |
| 1508801416 | Tmc Buchanan Family Healthcare Center | Family Medicine | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2006-06-17 |
| 1932190840 | Denis Marcel Morin | Family Medicine | 30 Buchanan Byp, Buchanan, GA 30113-4924 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124386180 | Thomas Fraiser Rodger | Counselor | 123 Van Wert St., Buchanan, GA 30113 | 2012-04-27 |
| 1710244298 | Rhea Michelle Wojcik | Counselor | 123 Van Wert Street, Buchanan, GA 30113 | 2012-04-20 |
| 1518238179 | Kelly Foundation for Senior Living, Inc. | Assisted Living Facility | 4083 Business 27, Buchanan, GA 30113 | 2012-01-13 |
| 1215136296 | Christopher Evan Cook | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2007-07-11 |
| 1558569590 | Solutions Community Services, Inc. | Community/Behavioral Health | 123 Van Wert St, Buchanan, GA 30113 | 2007-07-10 |
| 1053533984 | Crystal Holmes Hembree | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2007-05-02 |
| 1396829974 | Paul D Hague | Dentist | 3516 U.S. 27s, Buchanan, GA 30113 | 2006-10-24 |
| 1891745329 | Jim Cash Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 406 Carrollton St, Buchanan, GA 30113 | 2006-05-12 |
| 1497986558 | Erin Wurtz Everson | Pharmacy Technician | 406 Courthouse Square, Buchanan, GA 30113 | 2009-08-06 |
| 1720215775 | Villa Rica Eye Care | Optometrist | 402 Courthouse Square, Buchanan, GA 30113 | 2009-06-17 |
| Find all providers in zip 30113 | ||||
| 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 |
|---|---|---|---|---|
| 1447530498 | Derek Allen Henderson | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2011-08-23 |
| 1790932168 | Susan Jayne Smith | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.