KENNETH J GARGAN (NPI# 1154375079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154375079 |
| Entity Type | Individual |
| Full Name | KENNETH J GARGAN |
| Credential | MD |
| Practice Address |
3949 S Cobb Dr Se Smyrna GA 30080-6342 |
| Mailing Address |
Po Box 2994 Kennesaw GA 30156-9181 |
| Practice Telephone | 7704340710 |
| Mailing Telephone | 7707792171 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
055363 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 330297184 | 05 |
| Street Address |
3949 S COBB DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811977721 | Almass N Welji | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-01-18 |
| 1841619814 | Camille Smith Turner | Nurse Practitioner | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2014-04-07 |
| 1295960581 | Tameka Walker-blake | Emergency Medicine | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2009-05-15 |
| 1699918722 | Audrey N Ezeh | Specialist | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2009-04-20 |
| 1912026527 | Georgia Imaging Associates PC | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2007-03-28 |
| 1508900101 | Michael Brent Koch | General Acute Care Hospital | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2007-02-16 |
| 1962575357 | Samantha Storey | Internal Medicine | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-11-16 |
| 1760554703 | Anwer Ali Shamsuddin Bhamani | Internal Medicine | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-11-14 |
| 1609987056 | Michaele L Brown | Internal Medicine | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-08-31 |
| 1770691115 | Emory-adventist Inc | General Acute Care Hospital | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760738710 | Anush Parikh Md Pa | Radiology | 115 Dodge Dr, Smyrna, DE 19977-1880 | 2012-07-27 |
| 1811977721 | Almass N Welji | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-01-18 |
| 1538141031 | Douglas B Bober | Radiology | 603 Countryside Pl Se, Smyrna, GA 30080-8238 | 2005-11-18 |
| 1912115197 | Brent Williams | Radiology | 741 President Pl, Smyrna, TN 37167-6807 | 2007-05-19 |
| 1912026527 | Georgia Imaging Associates PC | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2007-03-28 |
| 1093721052 | Amanda F Bauer | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-07-31 |
| 1164475869 | Quantum Medical Radiology PC | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-05-17 |
| 1215996681 | Sunil Kini | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-03-22 |
| 1124096219 | John C Lipman | Radiology | 3670 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2006-03-14 |
| 1659351666 | Ashford Mcallister | Radiology | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-01-18 |
| Find all providers in SMYRNA | ||||
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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.