LISA CAROLINE KLEPCZYK (NPI# 1194986455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194986455 |
| Entity Type | Individual |
| Full Name | LISA CAROLINE KLEPCZYK |
| Credential | M.D. |
| Practice Address |
1968 Peachtree Rd Nw Radiation Oncology Dept Atlanta GA 30309-1281 |
| Practice Telephone | 4046054227 |
| Practice Fax Number | 7709163343 |
| Mailing Telephone | 4046054227 |
| Mailing Fax Number | 7709163343 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
072012 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
29795 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I928503 | 01 |
| AL | MEDICARE PTAN | 102I926603 | 01 |
| GA | 003148167B | 05 | |
| AL | CIGNA GOVERNMENT SERVICES PTAN | 0366100001 | 01 |
| AL | MC NSC | 0366100001 | 01 |
| AL | BCBS | 511-36409 | 01 |
| AL | 148843 | 05 |
| Street Address |
1968 PEACHTREE RD NW RADIATION ONCOLOGY DEPT |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749164 | Jeanette Dorothy Cheng | Pathology | 1968 Peachtree Rd Nw, Department of Pathology, 4th Floor, Atlanta, GA 30309-1281 | 2005-06-09 |
| 1346840931 | Brittany Symone Davis | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-31 |
| 1033719182 | Leah Dickie Gray | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-28 |
| 1427658780 | Christina Courtney Paton | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-27 |
| 1285234625 | Jolene Outley | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-26 |
| 1477151462 | Allison Nicole Dauberger | Registered Nurse | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-13 |
| 1982202099 | Liliana I Aguilar-pagan | Student in an Organized Health Care Education/Training Program | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-10-12 |
| 1447866850 | Alexander Perkins Means | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-09-21 |
| 1922613439 | Amanda Marie Boyd | Physician Assistant | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-09-11 |
| 1689286635 | Julie Beasley Heriot | Nurse Practitioner | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | 2020-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023301082 | Jolinta Lin | Radiology | The Emory Clinic Dept of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2011-05-25 |
| 1275710899 | Shannon Tucker Kahn | Radiology | 639 Kimberly Ln Ne, Atlanta, GA 30306-2224 | 2008-01-25 |
| 1295924801 | Brian Wise Weaver | Radiology | 1355 Heatherland Dr Sw, Atlanta, GA 30331-7460 | 2007-10-19 |
| 1043367865 | David Yu | Radiology | Emory Department of Radiation Oncology, 1365 Clifton Road, Ne, Atlanta, GA 30322-0001 | 2007-01-04 |
| 1093878787 | James H. Whitehurst | Radiology | 1100 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2006-12-18 |
| 1477597656 | Bruce Warren Hershatter | Radiology | Department of Radiation Oncology/emory University, 1320 Clifton Road, Atlanta, GA 30322 | 2006-06-16 |
| 1982658530 | Dale Lynn Mccord | Radiology | 320 Parkway Dr Ne, Atlanta, GA 30312-1213 | 2006-05-19 |
| 1528049087 | Radiation Oncology of Atlanta, LLC | Radiology | 1000 Johnson Ferry Rd, Ne, Northside Radiation Oncology Department, Atlanta, GA 30342-1606 | 2005-11-10 |
| 1487655528 | Thomas Wilson Phillips | Radiology | 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 | 2005-08-10 |
| 1568928281 | Roma, LLC | Radiology | 1110 W Peachtree St Nw Ste 100, Atlanta, GA 30309-3609 | 2019-02-19 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on LISA CAROLINE KLEPCZYK.
| 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.