IDOC VIRTUAL NEURO CRITICAL CARE LLC (NPI# 1053926154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053926154 |
| Entity Type | Organization |
| Organization Name | IDOC VIRTUAL NEURO CRITICAL CARE LLC |
| Practice Address |
159 E Wesley Rd Ne Atlanta GA 30305-3707 |
| Mailing Address |
Po Box 280113 Lakewood CO 80228-0113 |
| Practice Telephone | 8329827788 |
| Practice Fax Number | 7139936006 |
| Mailing Telephone | 3039224636 |
| Mailing Fax Number | 7206000998 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | DR. IMO AISIKU (CEO) |
| Authorized Official Telephone | 8329827788 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
159 E WESLEY RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030407 | Sandra W Paul | Specialist | 4185 Glad Morning Dr, Atlanta, GA 30349-3902 | 2020-10-10 |
| 1114489663 | Dr. Behling, LLC | Specialist | 1100 Peachtree St Ne Ste 250, Atlanta, GA 30309-4522 | 2019-04-03 |
| 1376013813 | Quality Therapeutic Massage LLC | Specialist | 423 Tazor St Nw, Atlanta, GA 30314-2718 | 2018-11-27 |
| 1467945444 | Lynette Singleton Brown | Specialist | 1509 Virginia Ave, Atlanta, GA 30337-2841 | 2018-06-13 |
| 1952806572 | Prerana Upadhyaya | Specialist | 920 Dannon Vw Sw Ste 3103, Atlanta, GA 30331-2158 | 2018-03-26 |
| 1225566300 | Aspire Fertility Georgia, LLC | Specialist | 6 Concourse Pkwy Ste 250, Atlanta, GA 30328-6117 | 2017-06-01 |
| 1376086256 | Integrated Healthcare Center of Dunwoody LLC | Specialist | 6115 Peachtree Dunwoody Rd, Atlanta, GA 30328-5546 | 2016-11-28 |
| 1063960748 | Lynda Louise Parrish | Specialist | 842 N Highland Ave Ne Ste 223, Atlanta, GA 30306-4530 | 2016-09-12 |
| 1922551118 | Shelley Fondren | Specialist | 5817 Jamerson Dr, Atlanta, GA 30349-7018 | 2016-07-25 |
| 1144677428 | Tasha Monique Roberts | Specialist | 1830 Water Pl. Se Ste 295, Atlanta, GA 30339 | 2016-05-17 |
| Find all providers in ATLANTA | ||||
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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.