DR. MARK WILLIAM EL-DEIRY (NPI# 1093752719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093752719 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM EL-DEIRY |
| Credential | M.D. |
| Practice Address |
The Emory Clinic 1365 A Clifton Rd Ne Atlanta GA 30322-0001 |
| Practice Telephone | 4047785329 |
| Mailing Telephone | 4047785329 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 66483 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | ME 98348 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278414900 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 96608 | 01 |
| Street Address |
THE EMORY CLINIC 1365 A CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043287832 | Habib Samady | Internal Medicine | The Emory Clinic, 1365 Clifton Road, Atlanta, GA 30322-0001 | 2006-03-01 |
| 1790884328 | Jonathan Jay Masor | Internal Medicine | The Emory Clinic, 1365 Clifton Road, Atlanta, GA 30322-1013 | 2006-09-21 |
| 1427072693 | David Lee Roberts | Internal Medicine | The Emory Clinic, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2006-07-27 |
| 1073549994 | Patrick Bowen | Internal Medicine | The Emory Clinic, 1365 Clifton Rd Ne Suite A 4343, Atlanta, GA 30322-0001 | 2006-06-23 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1750709770 | Paul Pedram Daraei | Otolaryngology | 6085 Barfield Rd Ste 100, Atlanta, GA 30328-4403 | 2014-04-07 |
| 1588906739 | Zhong Zheng | Otolaryngology | 2061 Peachtree Rd Nw Suite 300, Atlanta, GA 30363 | 2013-03-25 |
| 1932447208 | David Max Cohen | Otolaryngology | 3431 W Paces Ferry Ct Nw, Atlanta, GA 30327-2228 | 2013-01-22 |
| 1669739793 | Lori Michele Guillot | Otolaryngology | 5461 Meridian Mark Rd Ste 130, Atlanta, GA 30342 | 2012-04-13 |
| 1801186192 | Lauren Luk | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Emory University Hospital Midtown, Dept of Otolarngol., Atlanta, GA 30308 | 2011-04-08 |
| 1063567469 | Khuong V Nguyen | Otolaryngology | 4337 Buford Hwy, Ste 200, Atlanta, GA 30341-5044 | 2007-01-24 |
| 1730116161 | Daniel G Carothers | Otolaryngology | 2140 Peachtree Rd Nw Ste 360, Atlanta, GA 30309-1316 | 2006-06-28 |
| 1053348060 | Sarah K Wise | Otolaryngology | Emory Department of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322-0001 | 2006-06-26 |
| 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.