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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
84375 | GA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
17 Davis Blvd, Suite 308, Tampa, FL 336063475 | 8139746311 | 8139743482 |
Street Address |
200 W ACADEMY STREET |
City | GAINESVILLE |
State | GA |
Zip Code | 30501 |
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 |
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 Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
City | GAINESVILLE |
Zip Code | 30501 |
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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.