Walter L Shepeard Community Blood Ctr

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03293 Issued in GA

Legal business name

WALTER L SHEPEARD COMMUNITY BLOOD CTR

Practice address

1533 Wrightsboro Road
Augusta, GA 30904

Phone

(706) 737-4551

Fax

(706) 733-5214

NPI assigned

Sep 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Volker D Dube, MD

Title

Medical Director

Phone

(706) 737-4551

Specialties & licenses 1

Addresses

Other names 1

• Shepeard Community Blood Ctr Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Volker E Dube

  • Blood Banking & Transfusion Medicine Physician
  • Augusta, GA
  • NPI 1295987600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1285829192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 WRIGHTSBORO ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-4551",
            "fax_number": "706-733-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 WRIGHTSBORO ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-737-4551",
            "fax_number": "706-733-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER L SHEPEARD COMMUNITY BLOOD CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "VOLKER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-737-4551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "03293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepeard Community Blood Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Thersa Walley, LAPC
• Shaquise Walls, RBT
• Regina Walsh, NP
• Pastelle Henry Walston, APRN, FNP-C
• Shantell Walston
• Zachary Martin Walter, MD
• Abdul Abel Walters, DO
• Alan Shipman Walters, M.D.
• Colleen Walters, DNP
• Gordon Leslie Walters, MD

• Clinical Medical Laboratory in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.