STANLEY JOHN JAGIELSKI (NPI# 1083725295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083725295 |
| Entity Type | Individual |
| Full Name | STANLEY JOHN JAGIELSKI |
| Credential | M.D. |
| Practice Address |
200 Crescent Centre Parkway Kaiser Permanente Crescent Centre Medical Center Tucker GA 30084 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7704963525 |
| Practice Fax Number | 7704963709 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 038259 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
200 CRESCENT CENTRE PARKWAY KAISER PERMANENTE CRESCENT CENTRE MEDICAL CENTER |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245247006 | Derek Keith Richardson | Psychiatry & Neurology | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2006-08-02 |
| 1649403882 | Nida Usmani | Psychiatry & Neurology | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2009-09-03 |
| 1457519019 | Marion Ellen Howard | Internal Medicine | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2008-05-29 |
| 1629262407 | Robyn Q Daniell | Family Medicine | 200 Crescent Centre Parkway, Crescent Medical Centter Dpt of Adult Medicine, Tucker, GA 30084-7047 | 2007-09-05 |
| 1407047210 | Sandra Joy Mcfarland | Social Worker | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2007-08-06 |
| 1720278658 | Teresa Carol Whitehurst | Psychologist | 200 Crescent Centre Parkway, Kp Crescent Centre Medical Center, Tucker, GA 30084 | 2007-07-26 |
| 1386738987 | Shaanta A. Hanagud | Family Medicine | 200 Crescent Centre Parkway, Tucker, GA 30084 | 2006-10-03 |
| 1912009952 | Jane M Kerner-mendoza | Clinical Nurse Specialist | 200 Crescent Centre Parkway, Department of Behavioral Health, Tucker, GA 33084 | 2006-09-01 |
| 1053422261 | James W Hamilton | Psychologist | 200 Crescent Centre Parkway, Department of Behavioral Health, Tucker, GA 30084 | 2006-08-31 |
| 1023020781 | Lori C. Levey | Social Worker | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2006-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851649453 | James E. Dopson, M.d. | Obstetrics & Gynecology | 1918 Northlake Parkway, Suite 101, Tucker, GA 30084 | 2012-08-29 |
| 1851409858 | Catherine M Salazar | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1407810781 | Jesse Lee Jones | Obstetrics & Gynecology | 1370 Montreal Rd, Suite 170, Tucker, GA 30084-8128 | 2006-04-14 |
| 1013046044 | Perimeter Ob Gyn Care 2 LLC | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2007-03-05 |
| 1851402069 | Lisa A Marquardt | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1225149438 | Alyssa S Dayton | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1659482867 | Constance W Knauf | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics& Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1720196728 | Jacqueline M Anglade | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1639114556 | Perimeter Ob/gyn Care, LLC | Obstetrics & Gynecology | 1462 Montreal Rd, Tucker, GA 30084-6932 | 2006-06-17 |
| 1861488629 | Leslie A Pope | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2005-09-27 |
| Find all providers in TUCKER | ||||
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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.