KRISTINA L LUNDBERG (NPI# 1023295128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023295128 |
| Entity Type | Individual |
| Full Name | KRISTINA L LUNDBERG |
| Credential | MD |
| Practice Address |
158 W Ponce De Leon Ave Decatur GA 30030-2527 |
| Practice Telephone | 4048552229 |
| Practice Fax Number | 4047930151 |
| Mailing Telephone | 4048552229 |
| Mailing Fax Number | 4047930151 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 62393 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 002026 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
158 W PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130540 | Mohammed Kumail Ali | Family Medicine | 158 W Ponce De Leon Ave, Decatur, GA 30030-2527 | 2016-04-29 |
| 1417382540 | Erica Williams Webb | Nurse Practitioner | 158 W Ponce De Leon Ave, Decatur, GA 30030-2527 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1205481736 | Northside Nama Professional Services, LLC | Internal Medicine | 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 | 2019-08-01 |
| 1235632282 | Integrated Health and Wellness, LLC | Internal Medicine | 4150 Snapfinger Woods Dr Ste 200, Decatur, GA 30035-3417 | 2018-03-16 |
| 1619487428 | William Charles Levine | Internal Medicine | 2488 Pangborn Cir, Decatur, GA 30033-1341 | 2017-10-06 |
| 1730603267 | Snapcare Clinic | Internal Medicine | 5071 Snapfinger Woods Dr, Decatur, GA 30035-4019 | 2017-07-26 |
| 1629520515 | Daniel Feikin | Internal Medicine | 1726 Oakview Rd, Decatur, GA 30030-4235 | 2016-10-26 |
| 1699168237 | Valley Internal Medicine and Pediatrics | Internal Medicine | 2506 Danville Rd Sw # B, Decatur, AL 35603-4232 | 2015-03-06 |
| 1740691120 | Sandra J. Valenciano | Internal Medicine | 445 Winn Way Ste 527, Decatur, GA 30030-1707 | 2014-05-19 |
| 1376964593 | Naomi Bock | Internal Medicine | 335 W Ponce De Leon Ave Unit 501, Decatur, GA 30030-2456 | 2013-12-16 |
| 1548693641 | Timothy P. Weirich, M.d., P.C. | Internal Medicine | 3505 Pinehurst Dr Sw, Decatur, AL 35603-1259 | 2013-08-13 |
| 1154760577 | Michael William Smith | Internal Medicine | 2434 Vivian Cir, Decatur, GA 30030-1592 | 2013-06-19 |
| Find all providers in DECATUR | ||||
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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.