EMORY UNIVERSITY (NPI# 1063801421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063801421 |
| Entity Type | Organization |
| Organization Name | EMORY UNIVERSITY |
| Other Organization Name | EMORY HEALTHCARE INC |
| Practice Address |
1365 Clifton Rd Ne Atlanta GA 30322-1013 |
| Mailing Address |
550 Peachtree St Ne Bldg 2nd Atlanta GA 30308-2247 |
| Practice Telephone | 4047785000 |
| Mailing Telephone | 4047272827 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MR. DANIEL S OWENS (FINANCIAL ADMIN) |
| Authorized Official Telephone | 4047272827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5039 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Emory Healthcare Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598941320 | Emory University | General Acute Care Hospital | 3200 Lenox Rd Ne, E212, Atlanta, GA 30324-2679 | 2008-01-10 |
| 1770560294 | Emory University | General Acute Care Hospital | 1821 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2005-12-27 |
| 1316356066 | Emory University | Clinic/Center | 1462 Clifton Rd Ne, Suite 312, Atlanta, GA 30322-1000 | 2014-08-07 |
| 1104258425 | Emory University | Public Health or Welfare | 1518 Clifton Rd Ne, 8011, Atlanta, GA 30322-4201 | 2013-08-09 |
| 1225366826 | Emory University | Clinical Medical Laboratory | 1365 Clifton Rd Ne, B4302a, Atlanta, GA 30322-1013 | 2009-11-20 |
| 1922261528 | Emory University | General Acute Care Hospital | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-07-03 |
| 1780861419 | Emory University | General Acute Care Hospital | 1364 Clifton Rd Ne, Department of Pathology G159, Atlanta, GA 30322-1064 | 2008-01-24 |
| 1205011525 | Emory University | General Acute Care Hospital | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2008-01-05 |
| 1720262132 | Emory University | General Acute Care Hospital | 69 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3033 | 2007-12-20 |
| 1891907184 | Emory University | General Acute Care Hospital | 1364 Clifton Rd Ne, Dept of Anesthesiology, Euh 3rd Floor, Atlanta, GA 30322-1059 | 2007-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMORY UNIVERSITY | 201 Dowman Dr, Atlanta, GA 30322-1007 |
| Street Address |
1365 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022637 | Richard Duszak Jr. | Radiology | 1365 Clifton Rd Ne, Emory University Department of Radiology, Atlanta, GA 30322-1013 | 2005-06-13 |
| 1891319091 | Kayla Sondria Freeman | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-06-03 |
| 1548881576 | Rachelle Leona Rouse | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-30 |
| 1982233227 | Kayla Anne Nichols | Pharmacist | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-08 |
| 1326675380 | Tankeia Tanye' Warren | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-03-26 |
| 1407488687 | Bethany Joan Hanscom | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-02-06 |
| 1518505577 | Juanjuan Wu | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-20 |
| 1942847587 | Nour Majed Moukalled | Internal Medicine | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-12-02 |
| 1528604816 | Tram Bao Vu | Physician Assistant | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-11-21 |
| 1083266845 | Desiree Morgan Rogers | Nurse Practitioner | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770945016 | Charlotte Chung | Radiology | 1364 Clifton Rd Ne Rm D125a, Atlanta, GA 30322-4509 | 2016-03-25 |
| 1295172351 | Philip Kin-wai Wong | Radiology | 1364 Clifton Rd Ne Ste D125, Atlanta, GA 30322 | 2013-05-30 |
| 1982049292 | Mohamed Yahya Al Sawaf | Radiology | 550 Peachtree St. N.w., Atlanta, GA 30309 | 2013-05-01 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1851657571 | Mircea Mihai Cristescu | Radiology | Emory University 1364 Clifton Rd, Atlanta, GA 30322 | 2012-04-06 |
| 1912273483 | Sagar Bipin Amin | Radiology | 1365 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2012-03-28 |
| 1417236241 | Ernst Murphy Ruder | Radiology | 1175 W Garmon Rd Nw, Atlanta, GA 30327-4401 | 2011-08-10 |
| 1124311212 | Colin Michael Segovis | Radiology | Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 | 2011-05-23 |
| 1518265883 | Barbara Erwin Robertson | Radiology | 11 Riverly Pl Nw, Atlanta, GA 30327-2500 | 2011-03-10 |
| 1881918845 | Margaret Fleming | Radiology | 1365 Clifton Road, Department of Radiology, Suite D-125a, Atlanta, GA 30322 | 2010-03-19 |
| 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.