ELENI ANDRIA FOOTMAN (NPI# 1164835005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164835005 |
Entity Type | Individual |
Full Name | ELENI ANDRIA FOOTMAN |
Credential | MD |
Practice Address |
1459 Montreal Rd Tucker GA 30084 |
Mailing Address |
1365 Clifton Rd Ne Bldg A Suite At441 Atlanta GA 30322-1013 |
Practice Telephone | 4047787777 |
Mailing Telephone | 4047787726 |
Enumeration Date | 2014-06-09 |
Last Update Date | 2019-02-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101261415 | GA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116027044 | VA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3300 Gallows Rd, Department of Medicine Inova Fairfax Hospital, Falls Church, VA 220423307 | 7037762173 |
Street Address |
1459 MONTREAL RD |
City | TUCKER |
State | GA |
Zip Code | 30084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932100609 | Ralph Robert Beton | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2005-08-03 |
1306463807 | Yvette Danielle Fitzgerald | Physical Therapist | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2020-06-30 |
1467769992 | Stephen H. Knight M.d. | Ophthalmology | 1459 Montreal Rd, Ste 501, Tucker, GA 30084 | 2010-09-03 |
1164671707 | Ashley Nicole Boachie-adjei | Physician Assistant | 1459 Montreal Rd, Tucker, GA 30084-6900 | 2008-09-18 |
1982803995 | Lisa Anne Swift | Nurse Practitioner | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-07-11 |
1497958409 | Northeast Atlanta Associates In Gastroenterology | Specialist | 1459 Montreal Rd, Su 204, Tucker, GA 30084-6900 | 2007-06-07 |
1194926949 | Jamie Miner | Physical Therapist | 1459 Montreal Rd, Suite 207, Tucker, GA 30084-6900 | 2007-05-30 |
1154448967 | Ali M Mohamed | Internal Medicine | 1459 Montreal Rd, Ste 312, Tucker, GA 30084-6900 | 2007-03-25 |
1427183243 | Izabella Verbitsky | Internal Medicine | 1459 Montreal Rd, Suite 304, Tucker, GA 30084 | 2007-02-22 |
1568505949 | Mike Berry's Opticians Inc. | Eyewear Supplier (Equipment, not the service) | 1459 Montreal Rd, Suite 100, Tucker, GA 30084-6900 | 2007-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
Find all providers in zip 30084 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
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 |
---|---|---|---|---|
1457342693 | Steven A Patten | Internal Medicine | 1350 Montreal Rd, Suite 290, Tucker, GA 30084-8146 | 2005-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
1518334200 | Miguel E Stubbs M D P C | Internal Medicine | 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 | 2015-08-28 |
1497155469 | Golden Geriatrics LLC | Internal Medicine | 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 | 2014-08-27 |
1821361577 | Senior Care Office, LLC | Internal Medicine | 2020 Beverly Road, Gainesville, GA 30501-2037 | 2012-02-10 |
1609162965 | Linduc PC | Internal Medicine | 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 | 2011-06-24 |
1447574918 | David L. Anders, M.d., P.C. | Internal Medicine | 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 | 2010-03-26 |
1639319502 | New Snellville Clinic | Internal Medicine | 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 | 2009-03-04 |
1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
1912165192 | Aristotle Cochon | Internal Medicine | 955 Lynn Dr, Waycross, GA 31503-8590 | 2008-05-25 |
1972792265 | Perimeter Medical Associates,p.c. | Internal Medicine | 3775 N. Druid Hills Rd, Decatur, GA 30033 | 2007-10-23 |
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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.