DR. PHANI K. DANTULURI (NPI# 1093751133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093751133 |
| Entity Type | Individual |
| Full Name | DR. PHANI K. DANTULURI |
| Credential | M.D. |
| Practice Address |
550 Peachtree St Ne 19th Floor Atlanta GA 30308-2208 |
| Practice Telephone | 4042152000 |
| Practice Fax Number | 4042152001 |
| Mailing Telephone | 4042152000 |
| Mailing Fax Number | 4042152001 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 063646 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
063646 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 269972941A | 05 | |
| GA | 269972941E | 05 | |
| GA | 269972941D | 05 | |
| GA | 269972941C | 05 |
| Street Address |
550 PEACHTREE ST NE 19TH FLOOR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366734410 | Erika Lynn Templeton | Orthopaedic Surgery | 980 Johnson Ferry Rd Ste 1020, Atlanta, GA 30342-1609 | 2011-05-09 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1205857307 | Jim W Roderique | Orthopaedic Surgery | 955 Spring St Nw, Atlanta, GA 30309-3821 | 2006-07-22 |
| 1982620456 | John Seiler IIi | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2006-07-15 |
| 1811913643 | S Houston Payne Jr. | Orthopaedic Surgery | 2061 Peachtree Rd. Ne, Suite 500, Atlanta, GA 30309-1446 | 2006-07-14 |
| 1669406591 | Georgia Hand, Shoulder and Elbow, P.C. | Orthopaedic Surgery | 1819 Peachtree Rd Ne, Suite 425, Atlanta, GA 30309-1848 | 2006-07-10 |
| 1851756506 | Orthoatlanta, LLC | Orthopaedic Surgery | 1800 Howell Mill Rd Nw, Suite 200, Atlanta, GA 30318-2538 | 2015-12-23 |
| 1114317062 | Piedmont Orthopedics, LLC | Orthopaedic Surgery | 105 Collier Rd Nw Ste 2000, Atlanta, GA 30309-1734 | 2015-01-30 |
| 1912264755 | Bryan Joel Sirmon | Orthopaedic Surgery | 2061 Peachtree Rd Ne Ste 500, Atlanta, GA 30309-1446 | 2012-04-18 |
| 1144531211 | Clifton Gregrory Meals | Orthopaedic Surgery | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2010-06-23 |
| 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.