MILTONIA M WOLUCHEM (NPI# 1124086020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124086020 |
| Entity Type | Individual |
| Full Name | MILTONIA M WOLUCHEM |
| Other Name | MILTONIA HARVEY |
| Credential | MD |
| Practice Address |
1046 Ridge Ave Sw Atlanta GA 30315-1640 |
| Practice Telephone | 4046881350 |
| Practice Fax Number | 4046882962 |
| Mailing Telephone | 4046881350 |
| Mailing Fax Number | 4046882962 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 76541 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 196867 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | IHA # | 0414039 | 01 |
| NY | BLUE CHOICE # | P010196867 | 01 |
| NY | FIDELIS CARE # | 051101000018 | 01 |
| NY | WORKERS COMP # | 619687-6W | 01 |
| NY | PREFERRED CARE # | MDH910 | 01 |
| NY | SIDNEY HILLMAN # | 9250 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2561 Lac De Ville Blvd, Suite 202, Rochester, NY 14618 | 5852447330 | 5852446958 |
| Street Address |
1046 RIDGE AVE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123993 | Southside Medical Center, Inc. | Clinic/Center | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2005-09-08 |
| 1902427669 | Jacqueline Hamilton | Dietitian, Registered | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2020-05-04 |
| 1588290670 | Rutubula Pettaway | Social Worker | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2020-03-20 |
| 1063975944 | Donnamarie Wilson | Registered Nurse | 1046 Ridge Ave Sw, Atlanta, GA 30315 | 2019-04-09 |
| 1225598030 | Joi Raines | Nurse Practitioner | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2019-03-20 |
| 1417432006 | Taylor Breann Gonzalez | Advanced Practice Midwife | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2018-09-28 |
| 1154810299 | Keli Chapman | Midwife | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2018-05-03 |
| 1730680992 | Dena Boykin | Dental Hygienist | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2018-02-23 |
| 1063913234 | Sadaf Rehmani | Dental Hygienist | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2018-02-23 |
| 1629519251 | Anita Khimani | Clinic/Center | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 | 2017-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407752 | Neighbormd of Atlanta LLC | Internal Medicine | 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 | 2020-11-06 |
| 1053912907 | Neighbormd of North Atlanta LLC | Internal Medicine | 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 | 2020-11-06 |
| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1679137657 | Internal Medicine Consulting Services | Internal Medicine | 3365 Piedmont Rd Ne Ste 1400, Atlanta, GA 30305-1795 | 2019-04-25 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1326527144 | Vergena Montgomery Clark | Internal Medicine | 3142 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2018-08-13 |
| 1790299071 | Jay Leonard Lichtenfeld | Internal Medicine | 1711 E Clifton Rd Ne, Atlanta, GA 30307-1247 | 2017-11-26 |
| 1558872432 | Qcpi-villagemd, PC | Internal Medicine | 3445 Peachtree Rd Ne Ste 1200, Atlanta, GA 30326-3251 | 2017-10-18 |
| 1033640115 | Christopher Massad | Internal Medicine | 1364 Clifton Rd Ne Ste H-153, Atlanta, GA 30322-1059 | 2017-03-21 |
| 1114377025 | Atlanta Clinical Research Centers LLC | Internal Medicine | 5673 Peachtree Dunwoody Rd Ste 440, Atlanta, GA 30342-1797 | 2016-06-21 |
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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.