NORTHSIDE HOSPITAL, INC.
NPI 1952340994
General Acute Care Hospital in Lawrenceville, GA


Hospital Overall Rating: 2 out of 5 stars

NPI Status: Active since June 05, 2006

Contact Information

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 312-1000

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  • Organization
  • General Acute Care Hospital
  • Accepts Insurance
  • CLIA Number: 11D2285565
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-13-2025

About NORTHSIDE HOSPITAL, INC.

Northside Hospital, Inc. is a hospital serving the Lawrenceville, Georgia region. The facility is a general acute care hospital. The NPI number of this hospital is 1952340994 assigned on June 2006. The hospital's primary taxonomy code is 282N00000X with license number 067-460 (GA). The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Mr. Jorge Hernandez (Vp Admin, Cco)

NPI
1952340994
Provider Legal Name
NORTHSIDE HOSPITAL, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Location Phone
(678) 312-1000
Mailing Address
1000 JOHNSON FERRY ROAD NE ATTN: JORGE HERNANDEZ ATLANTA, GA 30342
Mailing Phone
(404) 851-6378
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
05-07-2025
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According to the Hospital Compare program data, Northside Hospital, Inc. has fair overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 2 out of 5 stars for this provider.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
067-460
License State
GA
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JORGE HERNANDEZ

Authorized Official Title
VP ADMIN, CCO
Authorized Official Phone
(404) 851-6378

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000294AMEDICAID (05)GA 

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

  • Overall Quality Rating - 2 out of 5 stars - Fair

    The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

  • Nurse Communication - 2 out of 5 stars - Fair

    Nurse communication - star rating

  • Doctor Communication - 2 out of 5 stars - Fair

    Doctor communication - star rating

  • Staff Responsiveness - 2 out of 5 stars - Fair

    Staff responsiveness - star rating

  • Communication About Medicines - 2 out of 5 stars - Fair

    Communication about medicines - star rating

  • Discharge Information - 3 out of 5 stars - Average

    Discharge information - star rating

  • Care Transition - 3 out of 5 stars - Average

    Care transition - star rating

  • Cleanliness - 4 out of 5 stars - Good

    Cleanliness - star rating

  • Quietness - 3 out of 5 stars - Average

    Quietness - star rating

  • Recommend Hospital - 3 out of 5 stars - Average

    Recommend hospital - star rating

  • Hospital Type Acute Care Hospitals - Government - Hospital District or Authority

  • Emergency Services: No

    Shows if the hospital provides emergency services like acute medical care or trauma care.

  • Meaningful Use of Electronic Health Records: Y

    Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

  • Rate of complications for hip/knee replacement patients is no different than the national rate

    Evaluation Period: July 2020 - March 2023

  • Death rate for heart attack patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for CABG surgery patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for COPD patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for heart failure patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for pneumonia patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Death rate for stroke patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Pressure ulcer rate is worse than the national rate

    Evaluation Period: July 2021 - June 2023

  • Death rate among surgical inpatients with serious treatable complications is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Iatrogenic pneumothorax rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • In-hospital fall-associated fracture rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative hemorrhage or hematoma rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative respiratory failure rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative sepsis rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Postoperative wound dehiscence rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • Abdominopelvic accidental puncture or laceration rate is no different than the national rate

    Evaluation Period: July 2021 - June 2023

  • CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

    Evaluation Period: July 2021 - June 2023

Hospital Associated Infections Quality Ratings

  • Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Colon Surgery is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • SSI - Abdominal Hysterectomy is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • MRSA Bacteremia is no different than national benchmark

    Evaluation Period: January 2023 - December 2023

  • Clostridium Difficile (C.Diff) is better than the national benchmark

    Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

  • Hospital return days for heart attack patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for heart failure patients is more days than average per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Hospital return days for pneumonia patients is average days per 100 discharges

    Evaluation Period: July 2020 - June 2023

  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate

    Evaluation Period: January 2020 - December 2022

  • Rate of inpatient admissions for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is no different than the national rate

    Evaluation Period: January 2022 - December 2022

  • Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

    Evaluation Period: January 2022 - December 2022

  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for CABG is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after hip/knee replacement is no different than the national rate

    Evaluation Period: July 2020 - June 2023

  • Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

    Evaluation Period: July 2022 - June 2023

  • Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

    Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

  • Elective Delivery percentage is 3%

    Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
    Evaluation Period: January 2023 - December 2023

  • Maternal Morbidity Structural Measure: Yes

    Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
    Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

  • Emergency department volume is very high

    Evaluation Period: January 2022 - December 2022

  • Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

    Evaluation Period: January 2023 - December 2023

  • Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 0.3%

    Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
    Evaluation Period: October 2023 - December 2023

  • Hospital Harm - Severe Hypoglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Hospital Harm - Severe Hyperglycemia is not available

    Evaluation Period: January 2023 - December 2023

  • Healthcare workers given influenza vaccination is 83%

    Percentage of healthcare workers given influenza vaccination.
    Evaluation Period: October 2023 - March 2024

  • Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 254 minutes

    Average time patients spent in the emergency department before leaving from the visit.
    Evaluation Period: January 2023 - December 2023

  • Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 367 minutes

    Average time patients spent in the emergency department before being sent home.
    Evaluation Period: January 2023 - December 2023

  • Left before being seen is 3 %

    Percentage of patients who left the emergency department before being seen.
    Evaluation Period: January 2022 - December 2022

  • Head CT results is 94 %

    Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
    Evaluation Period: January 2023 - December 2023

  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 67 %

    Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
    Evaluation Period: January 2022 - December 2022

  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

    Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
    Evaluation Period: January 2022 - December 2022

  • ST-Segment Elevation Myocardial Infarction (STEMI) is not available

    Evaluation Period: January 2023 - December 2023

  • Safe Use of Opioids - Concurrent Prescribing is 12

    Evaluation Period: January 2023 - December 2023

  • Appropriate care for severe sepsis and septic shock is 52 %

    Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 3-Hour Bundle is 64 %

    Septic Shock 3 Hour.
    Evaluation Period: January 2023 - December 2023

  • Septic Shock 6-Hour Bundle is 85 %

    Severe Sepsis 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 3-Hour Bundle is 78

    Evaluation Period: January 2023 - December 2023

  • Severe Sepsis 6-Hour Bundle is 78 %

    Septic Shock 6 Hour.
    Evaluation Period: January 2023 - December 2023

  • Discharged on Antithrombotic Therapy is 98

    Evaluation Period: January 2023 - December 2023

  • Anticoagulation Therapy for Atrial Fibrillation/Flutter is 83

    Evaluation Period: January 2023 - December 2023

  • Antithrombotic Therapy by End of Hospital Day 2 is not available

    Evaluation Period: January 2023 - December 2023

  • Discharged on Statin Medication is 97

    Evaluation Period: January 2023 - December 2023

  • Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

  • Intensive Care Unit Venous Thromboembolism Prophylaxis is not available

    Evaluation Period: January 2023 - December 2023

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2285565
Facility Type
Physician Office
Certificate Effective Date
July 14, 2023
Certificate Expiration Date
July 13, 2025
Laboratory Director
WHITNEY BARNES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northside Hospital, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHSIDE HOSPITAL, INC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952340994
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29102640918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 6 + 4 + 0 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1952340994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841266129MRS. M. CHRISTINE HARTLEY RD, LD, CDE
Individual
Dietitian, Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-6045
1588602189 NAREN LOGENDRA M.D.
Individual
Internal Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 714-2070
1912041294 ALISHA JILL HOLBROOK FNP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1720292063DR. JEFFREY EDWARD GREENWOOD MD
Individual
Emergency Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3317
1366628729DR. AMANDA PIERZCHALA M.D.
Individual
Emergency Medicine (Pediatric Emergency Medicine)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1104152065 ALLISON REINECKE HODGE CRNA
Individual
Nurse Anesthetist, Certified Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1619245107GWINNETT HOSPITAL SYSTEM, INC.
Organization
Rehabilitation Hospital1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-1000
1457609257 SHAWNEKA D BRYAN NP-C
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1841482478DR. LANCE G. DASHER MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639196348MRS. PRISCILLA L. STOCKWELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1407907280 LAURA GILBERT MITCHELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1811175458MRS. LISA ANN TRUBIA-SHAPIRO NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3272
1003171943 HEATHER GAIL KOTULA PAAA
Individual
Anesthesiologist Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1275873861MR. TIMOTHY NORMAN CARREGA NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1316922354DR. ROBERT A EISENBERG MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639154669DR. JOSEPH C FINLEY MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902881949DR. GORDON GOLDSTEIN MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1669450284DR. SANJAY RAJNI PATEL MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902111719 EMILY M GASTON PTA
Individual
Physical Therapy Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4324
1285078006 LORRAINE E ENGLISH NP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952340994, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 1000 Medical Center Blvd Lawrenceville, Ga 30046 and the phone number is (678) 312-1000

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D2285565 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating for this hospital is 2 out of 5 stars which is fair when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.

This hospital has affiliations with at least 949 health care professionals covering 27 different specialties including: Anesthesiology, Anesthesiologist Assistant, Family Medicine, Internal Medicine, Emergency Medicine, Neurological Surgery, Physician Assistant, Radiology, Nurse Practitioner, Orthopaedic Surgery, Hospitalist, Physical Medicine & Rehabilitation, Obstetrics & Gynecology, Psychiatry & Neurology, Urology, Nurse Anesthetist, Certified Registered, Otolaryngology, Colon & Rectal Surgery, Specialist, Podiatrist, Surgery, General Practice, Thoracic Surgery (Cardiothoracic Vascular Surgery), Ophthalmology, Pathology, Pain Medicine and Student in an Organized Health Care Education/Training Program.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.