WILLIAM DOUGLAS KNOPF (NPI# 1922007541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922007541 |
Entity Type | Individual |
Full Name | WILLIAM DOUGLAS KNOPF |
Credential | MD |
Practice Address |
6070 Lakeside Commons Dr Macon GA 31210-5778 |
Mailing Address |
Po Box 26790 Macon GA 31221-6790 |
Practice Telephone | 4782542644 |
Practice Fax Number | 4782544924 |
Mailing Telephone | 4782542644 |
Mailing Fax Number | 4782544924 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2019-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
023469 | GA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
023469 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000257639OPQRSTUV | 05 | |
MT | 1922007541 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1921 Alice St Ste 4a, Waycross, GA 315016202 | 9122842460 | 9122842389 |
Street Address |
6070 LAKESIDE COMMONS DR |
City | MACON |
State | GA |
Zip Code | 31210-5778 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265549 | Rallie D Cogburn Sr. | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2005-06-16 |
1194350546 | Serwah Sarponma Amponsah | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2020-03-05 |
1336791292 | Morgan Dowd | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-07-11 |
1740849082 | Heather Hall | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2019-06-11 |
1588153498 | Stephanie Van Dine | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2018-05-07 |
1598028060 | Susannah Burns Goodman | Nurse Practitioner | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2012-06-20 |
1205113057 | Middle Georgia Heart and Vascular Center, LLC | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2011-11-08 |
1376873513 | Angela Rhea Ballard | Physician Assistant | 6070 Lakeside Commons Dr, Macon, GA 31210 | 2010-01-11 |
1962650440 | Olexandr V. Smolensky | Internal Medicine | 6070 Lakeside Commons Dr, Macon, GA 31210-5778 | 2008-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
Find all providers in zip 31210 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720080443 | Stephen Ashley Noller | Internal Medicine | 770 Pine St, Suite 480, Macon, GA 31201-2173 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669019394 | Champ Vascular, LLC | Internal Medicine | 1825 Highway 34 E Ste 3400, Newnan, GA 30265-6423 | 2019-12-02 |
1174006159 | Kendall M Griffith Md LLC | Internal Medicine | 1497 Fair Rd Ste 311, Statesboro, GA 30458-0828 | 2018-09-14 |
1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
1447559604 | David Brendan Casey | Internal Medicine | 1700 Tree Ln Ste 100, Snellville, GA 30078-6749 | 2011-03-26 |
1730404120 | Deepali Nivas Tukaye | Internal Medicine | 1505 Northside Blvd Ste 3400, Cumming, GA 30041-8223 | 2010-03-29 |
1659560647 | Oduwole Organization Inc | Internal Medicine | 1415 Highway 85 N Ste 310-296, Fayetteville, GA 30214-7738 | 2007-10-16 |
1053487462 | Tiftarea Cardiology | Internal Medicine | 907 E. 18th St, Ste 100, Tifton, GA 31794 | 2006-11-28 |
1255412094 | Jeetendra B Patel | Internal Medicine | 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 | 2006-10-18 |
1811082605 | Cardiac Disease Specialists, PC | Internal Medicine | 296 Merchants Sq, Dallas, GA 30132-5029 | 2006-10-04 |
1770508756 | Hunt Dandridge Anderson | Internal Medicine | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0003 | 2006-07-12 |
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.