MR. PRAMOD MATHUR (NPI# 1124188768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124188768 |
| Entity Type | Individual |
| Full Name | MR. PRAMOD MATHUR |
| Practice Address |
1159 Monte Dr Marietta GA 30062-2896 |
| Practice Telephone | 7703216142 |
| Practice Fax Number | 7705095364 |
| Mailing Telephone | 7703216142 |
| Mailing Fax Number | 7705095364 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 033-R-0094 | GA | Nursing Service Related Providers |
| Street Address |
1159 MONTE DR |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050559 | Rebecca Sue Frederick | Home Health Aide | 120 Sterling Rd, Marietta, OH 45750-5139 | 2020-10-12 |
| 1922611268 | Silk Hc, LLC | Home Health Aide | 1000 Whitlock Ave Nw Ste 320299, Marietta, GA 30064-5455 | 2020-08-26 |
| 1831747989 | Jahnea M Mcguire | Home Health Aide | 2130 Red Berry Ln Sw, Marietta, GA 30008-5643 | 2019-09-02 |
| 1164920534 | Double Heart Personal Care Service LLC | Home Health Aide | 1295 Franklin Dr Se, Marietta, GA 30067-8788 | 2018-01-31 |
| 1447764113 | Lemis Healthcare Services | Home Health Aide | 1529 Briarfield Way, Marietta, GA 30066-5955 | 2017-11-16 |
| 1487087425 | Jessica Ashley Ianuzi | Home Health Aide | 217 Amber Beach Rd, Marietta, NY 13110-3259 | 2013-08-13 |
| 1598093882 | Reba Anntoinette Ramsey-young | Home Health Aide | 1023 Soaring Way, Marietta, GA 30062-2378 | 2009-11-24 |
| 1710193180 | Deborah Staats | Home Health Aide | 201 Poplar Ln, Marietta, OH 45750-8907 | 2007-05-15 |
| 1689772139 | Christine L Hanley | Home Health Aide | 2432 Renny Ct, Marietta, GA 30066-5726 | 2006-09-20 |
| 1568009447 | One-to-one Home Care LLC | Home Health Aide | 2470 Windy Hill Rd Se Ste 268, Marietta, GA 30067-8620 | 2019-12-10 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on MR. PRAMOD MATHUR.
| 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.