ROBERT I HEDEN (NPI# 1053470732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053470732 |
| Entity Type | Individual |
| Full Name | ROBERT I HEDEN |
| Credential | DPM |
| Practice Address |
4439 Roswell Rd Marietta GA 30062-6452 |
| Practice Telephone | 7709778221 |
| Practice Fax Number | 7709778222 |
| Mailing Telephone | 7709778221 |
| Mailing Fax Number | 7709778222 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000457 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
4439 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055805 | Mark R. Light | Podiatrist | 4439 Roswell Rd, Marietta, GA 30062-6452 | 2005-06-30 |
| 1184819930 | East Cobb Podiatry Surgery Center, LLC | Clinic/Center | 4439 Roswell Rd, Marietta, GA 30062-6452 | 2007-09-13 |
| 1184770133 | East Cobb Foot & Ankle Care P.C. | Podiatrist | 4439 Roswell Rd, Marietta, GA 30062-6452 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210339 | Steven R Downer | Podiatrist | 409 Second Street, Marietta, OH 45750-2116 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741632 | Serenity Podiatry and Med Spa LLC | Podiatrist | 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 | 2020-02-11 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1598010720 | Swga Foot & Ankle Center | Podiatrist | 415 E 4th Ave Ste B, Cordele, GA 31015-0614 | 2012-07-13 |
| 1548524937 | Swga Foot & Ankle Center | Podiatrist | 922 E Jefferson St Ste D, Americus, GA 31709-4781 | 2012-06-29 |
| 1952667305 | Agape Foot & Ankle Clinic, LLC | Podiatrist | 3693 Wittenburg Ct, Decatur, GA 30034-5507 | 2012-04-10 |
| 1275780199 | Azuka Ifeyinwa Nwaedozie | Podiatrist | 3364 Medina Dr, Jonesboro, GA 30236-6873 | 2008-08-21 |
| 1386804045 | Howard Foot&leg Specialists,pc. | Podiatrist | 12476 Hopewell Rd, Alpharetta, GA 30004-1347 | 2008-06-16 |
| 1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| Find all providers with the same taxonomy | ||||
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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.