ANDREW P BOZEMAN (NPI# 1902083546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902083546 |
Entity Type | Individual |
Full Name | ANDREW P BOZEMAN |
Credential | MD |
Practice Address |
100 Medical Dr Ste 100 Dublin GA 31021-2561 |
Practice Telephone | 4782722707 |
Practice Fax Number | 4782722791 |
Mailing Telephone | (478) 272-2707 |
Mailing Fax Number | 4782722791 |
Enumeration Date | 2008-01-25 |
Last Update Date | 2017-05-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
065526 | GA | Allopathic & Osteopathic Physicians |
Street Address |
100 MEDICAL DR STE 100 |
City | DUBLIN |
State | GA |
Zip Code | 31021-2561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
Find all providers in zip 31021 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184948739 | Morgan Richards | Surgery | 1405 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2010-03-24 |
1720278856 | Jonathan A Meisel | Surgery | 1400 Tullie Rd Ne Fl 1, Atlanta, GA 30329 | 2007-07-25 |
1326135591 | Kurt Frederick Heiss | Surgery | 1975 Century Center, Suite #6, Atlanta, GA 30345 | 2006-10-06 |
1528151859 | Amina Mira Bhatia | Surgery | 1975 Century Blvd Ne Ste 6, Atlanta, GA 30345-3316 | 2006-09-30 |
1760583710 | Megan Marie Durham | Surgery | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2006-09-25 |
1467451039 | Roger Mccoy Pitt | Surgery | 840 Pine St Ste 510, Macon, GA 31201-7530 | 2005-07-18 |
1790784221 | Theodore Brand | Surgery | 5248 Timber Ridge Rd, M, Marietta, GA 30068 | 2005-07-18 |
1366441941 | John Christopher Bleacher | Surgery | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2005-07-18 |
1558727289 | Cardiothoracic Providers At Childrens | Surgery | 1575 Northeast Expy Ne, Brookhaven, GA 30329-2401 | 2016-01-11 |
1932427291 | Robert Julian Vandewalle | Surgery | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2010-05-12 |
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.