Ildemaro Jose Volcan, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

017959 Issued in GA

Practice address

1226 W Wheeler Pkwy
Augusta, GA 30909-1870

Phone

(706) 922-4450

Fax

(706) 922-4453

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23795/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Augusta Spine Specialists

  • Neurological Surgery Physician
  • Augusta, GA
  • NPI 1306907381
  NPD (past) Authorized official
• Neurological Asssociate of Augusta, PC

  • Neurology Physician
  • Augusta, GA
  • NPI 1437167137

  Neurological Surgery

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1437101599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091870",
            "telephone_number": "706-922-4450",
            "fax_number": "706-922-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091870",
            "telephone_number": "706-922-4450",
            "fax_number": "706-922-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLCAN",
        "first_name": "ILDEMARO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "017959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hanh P Vo-Booker, PT, DPT
• Jessie Vo, PHARMD
• Maxwell Joseph Vogel, MD
• Volunteer Board of Uhcs Resources LLC
• Cassandra Marie Voong, MD
• Vra Physicians III LLC
• Mark Vranicar, MD
• Vinh Tu Vuong

• Neurological Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.