WILLIAM DOUGLAS KNOPF


Address: 6070 Lakeside Commons Dr, Macon, GA 31210-5778
Phone: 4782542644

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
GA 000257639OPQRSTUV 05
MT 1922007541 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1921 Alice St Ste 4a, Waycross, GA 315016202 9122842460 9122842389

Office Location

Street Address 6070 LAKESIDE COMMONS DR
City MACON
State GA
Zip Code 31210-5778

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720080443 Stephen Ashley Noller Internal Medicine 770 Pine St, Suite 480, Macon, GA 31201-2173 2005-08-12

Providers in the same taxonomy and state

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
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Competitor

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City MACON
Zip Code 31210

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Dataset Information

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.

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