JOHN GRAHAM THEISEN (NPI# 1861734378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861734378 |
| Entity Type | Individual |
| Full Name | JOHN GRAHAM THEISEN |
| Credential | M.D., M.S.C.R. |
| Practice Address |
810 Chafee Avenue Augusta GA 30904 |
| Mailing Address |
100 Richfield Ter Greer SC 29650-3743 |
| Practice Telephone | 7067224434 |
| Mailing Telephone | (864) 884-6321 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
078687 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 S Jackson St, Acb 2nd Floor, Department of Obstetrics and Gynecology, Louisville, KY 402021622 | 8648846321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076989 | John Kelly Theisen | Dentist | 521 E Railroad Ave, Fort Morgan, CO 80701-3331 | 2005-07-11 |
| 1003442534 | John Charles Theisen | Pharmacist | 3143 W Colorado Ave, Colorado Springs, CO 80904-2040 | 2020-03-16 |
| 1467585935 | John Christopher Theisen | Case Manager/Care Coordinator | 1920 E 13th Ave, Denver, CO 80206-2002 | 2007-03-14 |
| Street Address |
810 CHAFEE AVENUE |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1396012852 | Servicorp Resource Center, Inc. | Psychologist | 1904 Highland Avenue, Augusta, GA 30904 | 2011-11-28 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932398831 | Reproductive Endocrinologists, PC | Obstetrics & Gynecology | 903 15th St, Augusta, GA 30901-2607 | 2007-10-17 |
| 1558432179 | Puthugramam K Natrajan | Obstetrics & Gynecology | 903 15th Street, Augusta, GA 30910 | 2006-11-13 |
| 1538278940 | Lawrence C. Layman | Obstetrics & Gynecology | 810 Chafee Ave, Augusta, GA 30904-5806 | 2006-08-30 |
| 1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
| 1912016031 | Paul G. Mcdonough | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1992752083 | Ana Alvarez Murphy | Obstetrics & Gynecology | 1120 15th St, Augusta, GA 30912-0004 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538645908 | Reproductive Health Medicine & Gynecology | Obstetrics & Gynecology | 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-2203 | 2018-07-18 |
| 1659881290 | Coastal Fertility Center | Obstetrics & Gynecology | 9100 White Bluff Rd Ste 201, Savannah, GA 31406-4600 | 2017-10-10 |
| 1639469471 | David Austin Schirmer IIi | Obstetrics & Gynecology | 550 Peachtree St Ne Bldg Ste 1800, Atlanta, GA 30308-2247 | 2011-04-13 |
| 1194988949 | Obehi Alexandria Asemota | Obstetrics & Gynecology | 3005 Royal Blvd S Ste 220, Alpharetta, GA 30022-1408 | 2008-07-02 |
| 1760668396 | Jessica Bronwyn Spencer | Obstetrics & Gynecology | 550 Peachtree Rd., Crawford Long Medical Office Tower, Ste 1800, Atlanta, GA 30308 | 2008-01-14 |
| 1750458261 | Specialty Gynecology PC | Obstetrics & Gynecology | 2398 Mount Vernon Rd, Suite 150, Dunwoody, GA 30338-3064 | 2006-11-29 |
| 1235211442 | Paula Abby Rothman | Obstetrics & Gynecology | 7141 Hunters Branch Ct Ne, Atlanta, GA 30328-1709 | 2006-10-19 |
| 1528167590 | Glenn P. Palmisano | Obstetrics & Gynecology | 4 Sundew Rd, Savannah, GA 31411-2955 | 2006-09-22 |
| 1518071182 | James John Bendell | Obstetrics & Gynecology | 310 S Lewis St, Lagrange, GA 30240-3144 | 2006-08-19 |
| 1336108190 | Carlene W. Elsner | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-21 |
| 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.