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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM - BLH | 1235131137 | 01 |
MI | 1992795876 | 05 | |
GA | MEDICAL LICENSE | 58914 | 01 |
Street Address |
107 FAIRVIEW PARK DR |
City | DUBLIN |
State | GA |
Zip Code | 31021-2501 |
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 |
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 |
Find all providers in zip 31021 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
Find all providers in DUBLIN |
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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.