DR. ROBERT PETTIGNANO (NPI# 1174532303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174532303 |
| Entity Type | Individual |
| Full Name | DR. ROBERT PETTIGNANO |
| Credential | MD |
| Practice Address |
35 Jesse Hill Jr Dr Se Atlanta GA 30303-3032 |
| Mailing Address |
49 Jesse Hill Jr Dr Se Room 282 Atlanta GA 30303-3049 |
| Practice Telephone | 4046164390 |
| Mailing Telephone | 4047781432 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
030527 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
35 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947872 | Beatrice Elizabeth Gee | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2005-07-27 |
| 1629692488 | Joshua R Erisman | Pharmacist | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2020-06-07 |
| 1083269880 | Kaitlyn Mcgregor | Nurse Practitioner | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2019-08-08 |
| 1144709213 | Katilia Harden | Counselor | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2018-08-09 |
| 1760992150 | Erica Ann Bullard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-10-11 |
| 1629587654 | Lindsey Mccutchen Howard | Emergency Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-09-21 |
| 1083132021 | Shekita Johnson | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2017-08-30 |
| 1467815993 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2016-04-01 |
| 1255746186 | Arin Swerlick | Family Medicine | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2014-06-30 |
| 1811307929 | Keila Simmons | Pediatrics | 35 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3032 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000358 | Spring Heather Ou-tim | Pediatrics | 5461 Meridian Marks Rd Ste 540, Atlanta, GA 30342-3283 | 2018-10-26 |
| 1477796951 | Geoffrey Edward Mickells | Pediatrics | 5901-b Peachtree Dunwoody Rd, Suite B-420, Atlanta, GA 30328-7156 | 2009-04-13 |
| 1225455793 | Lisa Lima | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1020 | 2014-03-23 |
| 1265775159 | Neelima Krishnapriya Marupudi | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2013-03-29 |
| 1114215431 | Asaad G Beshish | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-5000 | 2011-07-20 |
| 1316238074 | Nabihah R Mahmood | Pediatrics | 980 Johnson Fy Rd Ne Ste 620, Atlanta, GA 30342-1608 | 2011-04-28 |
| 1033437215 | Brandon W Kirkland | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2010-05-12 |
| 1235371212 | Jocelyn Rebecca Grunwell | Pediatrics | 1405 Clifton Rd Ne, Choa Egleston, Tower 1, 4th Floor Ccm Offices, Atlanta, GA 30322-1059 | 2009-04-06 |
| 1659513224 | Amanda Ruth | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2009-03-29 |
| 1295992972 | Mary Lihinie Dealmeida | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2008-05-20 |
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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.