DR. STUART JOSEPH DEADERICK


Address: 200 W Academy Street, Gainesville, GA 30501
Phone: 7702828820

DR. STUART JOSEPH DEADERICK (NPI# 1922443183) 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) 1922443183
Entity Type Individual
Full Name DR. STUART JOSEPH DEADERICK
Credential M.D.
Practice Address 200 W Academy Street
Gainesville
GA 30501
Mailing Address 535 Jesse Jewell Pkwy Se Ste A
Gainesville
GA 30501-3772
Practice Telephone 7702828820
Mailing Telephone 7705349729
Enumeration Date 2013-05-01
Last Update Date 2020-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
84375 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
17 Davis Blvd, Suite 308, Tampa, FL 336063475 8139746311 8139743482

Office Location

Street Address 200 W ACADEMY STREET
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134101116 Richard C Cory Radiology 200 W Academy Street, Gainesville, GA 30501 2005-11-16
1891089272 Joseph Paul Whitlock Internal Medicine 200 W Academy Street, Gainesville, GA 30501 2011-06-03
1922319599 Bart W Kimbrell Radiology 200 W Academy Street, Gainesville, GA 30501 2010-06-28
1093958795 Michael Deogracias Wood Physician Assistant 200 W Academy Street, Gainesville, GA 30501 2009-04-09
1063533149 Ajay Kumar Ravi Radiology 200 W Academy Street, Gainesville, GA 30501 2007-04-03
1760539175 Christa Lee Rush Physician Assistant 200 W Academy Street, Gainesville, GA 30501 2007-01-05
1245399575 Henry A Woods Jr. Radiology 200 W Academy Street, Gainesville, GA 30501 2006-12-06
1205924537 Robert Jay Balotin Radiology 200 W Academy Street, Gainesville, GA 30501 2006-10-11
1225054083 Matthew Lauer Scott Radiology 200 W Academy Street, Gainesville, GA 30501 2006-07-14
1063447902 Kimberely J Windham-cope Radiology 200 W Academy Street, Gainesville, GA 30501 2006-07-11
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114242930 Alkesh Ashwinkumar Amin Radiology Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 2010-04-05
1245394220 Imaging Services Pa Radiology 10415 Sw 23rd Ave, Gainesville, FL 32607-3564 2006-12-21
1477563484 Doctors Imaging Group LLC Vascular and Interventional Physicians Offic Radiology 6685 Nw 9th Blvd, Gainesville, FL 32605-4206 2006-08-09
1316207202 Timothy Justin Goede Radiology 6716 Nw 11th Pl Ste 200, Gainesville, FL 32605 2012-05-24
1083826630 Amirali C. Moosavi Radiology 14540 John Marshall Hwy, Gainesville, VA 20155-1691 2007-05-04
1093889628 Joseph Brady Mcdonald Radiology 1600 Sw Archer Rd, Gainesville, FL 32610-0374 2006-11-17
1194775783 Doctors Radiology Group of Gainesville LLC Radiology 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 2006-05-12
1508820499 Adam B. Winick Radiology 14540 John Marshall Hwy Ste 104, Gainesville, VA 20155-1693 2006-04-17
1336100544 Brian Scott Geller Radiology 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-03-29
1093796161 Alap Rutkumar Jani Radiology 1601 Sw Archer Rd, Va Nf/sg Diagnostic Imaging Dept Radiology, Gainesville, FL 32608-1135 2005-11-07
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 30501

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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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