MR. JOHN C LIPMAN (NPI# 1124096219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124096219 |
Entity Type | Individual |
Full Name | MR. JOHN C LIPMAN |
Credential | M.D. |
Practice Address |
3670 Highlands Pkwy Se Smyrna GA 30082-5184 |
Practice Telephone | 7709532600 |
Practice Fax Number | 7709532602 |
Mailing Telephone | 7709532600 |
Mailing Fax Number | 7709532602 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2016-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
034012 | GA | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
034012 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000468905Q | 05 |
Street Address |
3670 HIGHLANDS PKWY SE |
City | SMYRNA |
State | GA |
Zip Code | 30082-5184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891763140 | Atlanta Interventional Institute P.C. | Radiology | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-03-11 |
1891107470 | Tonicia Brandon | Counselor | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2014-05-29 |
1932487303 | Kellie Moore | Counselor | 3670 Highlands Pkwy Se, Building 6, Smyrna, GA 30082-5184 | 2011-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
1386185916 | Nicholas Andrews | Behavior Technician | 5034 Laurel Bridge, Smyrna, GA 30082 | 2017-03-15 |
1518331362 | Shannon Wilkerson | Counselor | 3040 Highlands Pkwy, Ste G, Smyrna, GA 30082 | 2015-11-17 |
1235529611 | Frances Offiah Idowu | Nurse Practitioner | 3240 South Cobb Drive, Smyrna, GA 30082 | 2015-01-23 |
1053717850 | Deena Altman Spital | Physician Assistant | 400 Technology Ct, Suite J, Smyrna, GA 30082 | 2014-11-06 |
1487964193 | Revive Athletics, Inc | Counselor | 460 Bourne Drive, Smyrna, GA 30082 | 2010-10-15 |
1386956746 | Kalpit C Patel | Family Medicine | 4480 N Cooper Lake Rd Se Ste 100, Smyrna, GA 30082 | 2010-07-13 |
1285826800 | David Goziem Nwabunor | Emergency Medicine | 415 Oak Brook Ct Se, Smyrna, GA 30082 | 2007-08-16 |
1437357373 | Amit M Patel | Plastic Surgery | 3968 Felton Hill Rd Sw, Ste 100, Smyrna, GA 30082 | 2007-07-03 |
1225103849 | Daniel C Norris Dds PC | Dentist | 620 Concord Rd, Smyrna, GA 30082 | 2006-11-21 |
Find all providers in zip 30082 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891763140 | Atlanta Interventional Institute P.C. | Radiology | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225675812 | Kare Asc, LLC | Radiology | 4165 Old Milton Pkwy Ste 150b, Alpharetta, GA 30005-4477 | 2019-12-03 |
1710541990 | Vascular Atlanta Inc | Radiology | 3840 Peachtree Industrial Blvd Ste 275b, Duluth, GA 30096-5031 | 2019-04-23 |
1063903078 | South Atlanta Vascular Institute, LLC | Radiology | 4714 Oakleigh Manor Dr, Powder Springs, GA 30127-4923 | 2018-05-24 |
1780184218 | Preferred Vascular Services Northeast | Radiology | 1 Dunwoody Park Ste 140, Atlanta, GA 30338-6708 | 2018-02-21 |
1417229741 | Northeast Atlanta Vascular Care, LLC | Radiology | 1 Dunwoody Park Ste 130, Atlanta, GA 30338-6714 | 2012-02-01 |
1932479813 | Peter Sones | Radiology | 1026 Clifton Rd Ne, Atlanta, GA 30307-1228 | 2012-01-09 |
1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
1144543877 | Kuraoka Clinic | Radiology | 100 Galleria Pkwy Se, Suite 660, Atlanta, GA 30339-3179 | 2010-03-09 |
1447415393 | Vascular Access Center of Warner Robins LLC | Radiology | 516 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-6308 | 2008-07-21 |
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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.