AICA ORTHOPEDICS, P. C. (NPI# 1073153409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073153409 |
Entity Type | Organization |
Organization Name | AICA ORTHOPEDICS, P. C. |
Practice Address |
755 Mount Vernon Hwy Ne Ste 305 Atlanta GA 30328-4290 |
Mailing Address |
Po Box 674508 Marietta GA 30006-0076 |
Practice Telephone | 6787012225 |
Practice Fax Number | 6787012226 |
Mailing Telephone | 6787012225 |
Mailing Fax Number | 6787012226 |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |
Authorized Official Name | KERI LANIADO (ACCOUNTANT) |
Authorized Official Telephone | 6787012225 |
Is Organization Subpart | Y |
Parent Organization Name | AICA ORTHOPEDICS, P. C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
R01 MOUNT VERNON | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730532698 | Aica Orthopedics, P. C. | Orthopaedic Surgery | 3825 Cherokee St Nw, Kennesaw, GA 30144-2085 | 2016-07-15 |
Street Address |
755 MOUNT VERNON HWY NE STE 305 |
City | ATLANTA |
State | GA |
Zip Code | 30328-4290 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
1518568591 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
Find all providers in zip 30328 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
1104832906 | Spero G Karas | Orthopaedic Surgery | 59 Executive Park Drive South, Suite 1000, Atlanta, GA 30329 | 2006-08-01 |
1811912611 | Peachtree Orthopaedic Clinic Pa | Orthopaedic Surgery | 2001 Peachtree Rd, Suite 705, Atlanta, GA 30309 | 2006-07-13 |
1780617365 | Alonzo T Sexton II | Orthopaedic Surgery | 1110 W Peachtree St Nw Ste 950, Atlanta, GA 30309-3609 | 2006-07-08 |
1285623850 | Dunwoody Physician Practice Network Inc | Orthopaedic Surgery | 4500 N Shallowford Rd, Suite 500, Atlanta, GA 30338-6476 | 2005-10-17 |
1780215038 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2020-01-27 |
1366787723 | Lindsey Helen Taylor | Orthopaedic Surgery | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2012-12-11 |
1609025790 | Daniel Alan Nicholson | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2008-09-12 |
1518143676 | James Saylor Kercher | Orthopaedic Surgery | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1476 | 2008-01-18 |
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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.