PRISCILLA RUTH STROM (NPI# 1861495491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861495491 |
| Entity Type | Individual |
| Full Name | PRISCILLA RUTH STROM |
| Credential | MD |
| Practice Address |
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Practice Telephone | 7705362323 |
| Practice Fax Number | 7705364947 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 021053 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 343257 | 01 |
| GA | 000221955J | 05 | |
| GA | AETNA | 5151005 | 01 |
| GA | BCBS | 52476028 | 01 |
| GA | COVENTRY | 572604 | 01 |
| GA | AMERIGROUP | 01050059 | 01 |
| GA | CIGNA | 1415794 | 01 |
| GA | MEDICARE RAILROAD | P00434214 | 01 |
| GA | UHC | 1177000 | 01 |
| GA | PEACH STATE | 000221955H | 01 |
| GA | 000221955H | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Cantrell Rd Ste 100, Cleveland, GA 305281083 | 7064820215 | 7064820216 |
| Street Address |
725 JESSE JEWELL PKWY SE |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578040523 | Jeffrey Scott Wieseman | Registered Nurse | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-07-23 |
| 1164916581 | Anny Sosebee | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-06-19 |
| 1538653829 | D'anna Cain | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2018-06-19 |
| 1518471044 | Cheryl Lynn Thorsten | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2017-11-20 |
| 1669915930 | Abigail Grace Bell | Dietitian, Registered | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-11-18 |
| 1710431226 | Oteia Keion Morris | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2016-08-12 |
| 1588015473 | Aliah D Sapp | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-06-22 |
| 1821447434 | Michelle Marie Ladewig | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-06-06 |
| 1770944373 | Kathryn Martin Weeks | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-03-10 |
| 1083071732 | Casey Shields | Nurse Practitioner | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752664 | Total Wellness and Bariatrics, P.a. | Surgery | 336 N Grand Ave, Gainesville, TX 76240-4322 | 2019-04-01 |
| 1134546542 | Thoracic and Vascular Surgeons of Gainesville, P.a. | Surgery | 1151 Nw 64th Ter, Gainesville, FL 32605-4218 | 2014-03-24 |
| 1487915526 | Tyler John Loftus | Surgery | Shands At The University of Florida, 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2012-06-05 |
| 1821359589 | Ming-jim Yang | Surgery | University of Florida Department of Surgery, Gainesville, FL 32610-0287 | 2012-05-30 |
| 1023303609 | Kimberly Chou | Surgery | 2000 Sw 16th St Apt 9, Gainesville, FL 32608-1437 | 2011-06-13 |
| 1265750566 | Erin Vanzant | Surgery | 1600 Sw Archer Rd # 100108, Gainesville, FL 32610 | 2010-05-11 |
| 1447410949 | Michael Hart Lebow | Surgery | 1075 B Jessel Jewell Pkwy, Gainesville, GA 30501 | 2008-06-10 |
| 1023276037 | Richard Bradley Nesmith | Surgery | 6801 Nw 9th Blvd Ste 2, Gainesville, FL 32605-4263 | 2008-05-27 |
| 1386821007 | Wiley S Black | Surgery | 2626 Parker Trl, Gainesville, GA 30506-1800 | 2008-01-24 |
| 1700075553 | 2k Medical LLC | Surgery | 9618 Sw 34th Ln, Gainesville, FL 32608-8662 | 2007-10-17 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.