THERESA FU (NPI# 1205130424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205130424 |
| Entity Type | Individual |
| Full Name | THERESA FU |
| Practice Address |
3290 Northside Pkwy Nw Suite 300 Atlanta GA 30327-2273 |
| Practice Telephone | 4042016013 |
| Mailing Telephone | 4042016013 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3290 NORTHSIDE PKWY NW SUITE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447556360 | Daryl Wakefield | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2011-02-10 |
| 1467757781 | Anthwan Jackson | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2011-01-18 |
| 1063716835 | Asia Bailey Harris | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2011-01-07 |
| 1942500137 | Pamela Miller | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite300, Atlanta, GA 30327-2273 | 2010-10-22 |
| 1134429335 | Greg Johnson | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-22 |
| 1366742561 | Lalissie Merga | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-22 |
| 1023318219 | Scott Davis | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite300, Atlanta, GA 30327-2273 | 2010-10-22 |
| 1023328812 | Charity Ragin | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-14 |
| 1023328713 | Melissa Stalvey | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-14 |
| 1942510722 | Clinton Jones | Specialist/Technologist, Other | 3290 Northside Pkwy Nw, Suite 300, Atlanta, GA 30327-2273 | 2010-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821508227 | Molly Brake | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
| 1639608516 | University Neuro, LLC | Specialist/Technologist, Other | 925b Peachtree St Ne Ste 710, Atlanta, GA 30309-3918 | 2017-06-05 |
| 1730544404 | Neuro Pro | Specialist/Technologist, Other | 3284 Northside Pkwy Nw Ste 600, Atlanta, GA 30327-2282 | 2015-12-23 |
| 1053759431 | Neurolink LLC | Specialist/Technologist, Other | 3300 Northeast Expy Ne Bldg 7, Atlanta, GA 30341-3938 | 2013-06-07 |
| 1841448602 | Nimco, LLC | Specialist/Technologist, Other | 3290 Northside Pkwy, Suite 300, Atlanta, GA 30327-2212 | 2008-09-05 |
| 1801427547 | Meridith Nicole Dloughy | Specialist/Technologist, Other | 3284 Northside Pkwy Nw Ste 600, Atlanta, GA 30327-2282 | 2020-01-31 |
| 1811542806 | Camilo Andres Mojica | Specialist/Technologist, Other | 925b Peachtree St Ne, Ste 710, Atlanta, GA 30309-3918 | 2019-08-06 |
| 1649830753 | Rena Wolf | Specialist/Technologist, Other | 925b Peachtree St Ne Ste 710, Atlanta, GA 30309-3918 | 2019-06-20 |
| 1093225492 | Patrick Heckathorn | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
| 1083124499 | Stephanie Dix | Specialist/Technologist, Other | 3535 Peachtree Rd Ne Ste 520-637, Atlanta, GA 30326-3287 | 2017-10-11 |
| Find all providers in ATLANTA | ||||
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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.