JORGE B PISARELLO


Address: 107 Fairview Park Dr, Dublin, GA 31021-2501
Phone: 4788643448

JORGE B PISARELLO (NPI# 1992795876) 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) 1992795876
Entity Type Individual
Full Name JORGE B PISARELLO
Credential MD
Practice Address 107 Fairview Park Dr
Dublin
GA 31021-2501
Mailing Address Po Box 371
Wrightsville
GA 31096-0371
Practice Telephone 4788643448
Practice Fax Number 4788641288
Mailing Telephone 4788643448
Mailing Fax Number 4788641288
Enumeration Date 2005-10-24
Last Update Date 2015-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 58914 GA Allopathic & Osteopathic Physicians
N 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
MD027109E PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM - BLH 1235131137 01
MI 1992795876 05
GA MEDICAL LICENSE 58914 01

Office Location

Street Address 107 FAIRVIEW PARK DR
City DUBLIN
State GA
Zip Code 31021-2501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467990374 Yashica Austin Nurse Practitioner 107 Fairview Park Dr, Dublin, GA 31021-2501 2017-02-11
1336378892 Community Health Care Systems, Inc. Clinic/Center 107 Fairview Park Dr, Dublin, GA 31021 2009-07-06
1366658734 Charles E Jackson Jr. Family Medicine 107 Fairview Park Dr, Dublin, GA 31021-2501 2007-05-15
1336256981 Middle Georgia Oncology, LLC Internal Medicine 107 Fairview Park Dr, Dublin, GA 31021-2501 2006-08-23
1265549893 Dublin Nephrology Associates LLC Internal Medicine 107 Fairview Park Dr, Dublin, GA 31021-2501 2006-08-23

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376032268 Mohammad Kamran Zaheer Internal Medicine 5035 Noor Park Cir, Dublin, OH 43016-7075 2018-05-07
1700306784 Reliance Medical Group, Inc Internal Medicine 6850 Perimeter Dr Ste D, Dublin, OH 43016-8051 2017-06-21
1063832079 Owen Johnson Internal Medicine 3118 Barry Trace Ct, Dublin, OH 43017-2212 2014-04-17
1659639656 Huseini K Haveliwala Internal Medicine 2789 E Sugar Hill Ter, Dublin, CA 94568-4621 2012-04-26
1073819728 Mann Medical Complex Internal Medicine 108b Corporate Square, Dublin, GA 31021 2011-01-28
1770719486 Knotresha Floreth Stewart Internal Medicine 28 Town Center Drive, Dublin, VA 24084 2009-06-09
1720229693 Daljeet Singh Samra Internal Medicine 3649 Aviano Way, Dublin, CA 94568-7338 2009-03-23
1386885697 Dublin Nephrology Care, LLC Internal Medicine 203 Fairview Park Dr, Dublin, GA 31021-2550 2009-03-16
1841431475 Senior Care Advantage LLC Internal Medicine 7652 Sawmill Rd, Suite 321, Dublin, OH 43016-9296 2009-03-11
1255592408 Chandra S Duggirala Internal Medicine 3340 Giovanni Way, Dublin, CA 94568-4201 2008-06-20
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Competitor

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City DUBLIN
Zip Code 31021

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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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