DR. FERNANDO DAVID NUSSENBAUM


Address: 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237
Phone: 7708920300

DR. FERNANDO DAVID NUSSENBAUM (NPI# 1205274800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205274800
Entity Type Individual
Full Name DR. FERNANDO DAVID NUSSENBAUM
Credential M.D
Practice Address 135 N Park Pl Ste 101
Stockbridge
GA 30281-7237
Practice Telephone 7708920300
Mailing Telephone 7708920300
Enumeration Date 2013-06-05
Last Update Date 2020-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
MD468290 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program BP10046144 TX Student, Health Care

Office Location

Street Address 135 N PARK PL STE 101
City STOCKBRIDGE
State GA
Zip Code 30281-7237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356338313 Philip G. Ploska Orthopaedic Surgery 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2005-10-04
1205461670 Alanna Marie Brooks Physician Assistant 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2020-03-06
1558911552 Christopher Lee Steele Physical Therapist 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2019-09-12
1609429935 Southside Surgical Assistants, LLC Orthopaedic Surgery 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2019-07-16
1699335810 Jennifer Monsrud Registered Nurse 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2019-06-19
1023307626 Steven Peter Rayappa Orthopaedic Surgery 135 N Park Pl Ste 101, Stockbridge, GA 30281-7237 2011-04-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164039095 Colette Alls Social Worker 447 Lakeshore Dr, Stockbridge, GA 30281 2020-09-24
1982216800 Pediatric and Family Behavioral Health of Georgia Counselor 1004 Ulster Court, Stockbridge, GA 30281 2020-08-21
1518577659 Qunique Taveka Toxey Behavior Technician 115 N Park Trail, Suite 123, Stockbridge, GA 30281 2020-08-04
1497377675 Melanie Harvey Pharmacist 4467 North Henry Boulevard, Stockbridge, GA 30281 2020-05-11
1114550571 Cecile Maria Dunkley Layne Counselor 255 Corporte Drive, Stockbridge, GA 30281 2020-02-13
1306407143 Palliative Care of Georgia. LLC Home Health 275 Corporate Center Court Ste C, Stockbridge, GA 30281 2019-06-24
1154883791 Aaliyah Nura Fardan-alexander Nurse's Aide 105 Singletree, Stockbridge, GA 30281 2019-04-02
1306306261 Prosthetic Care, Inc. Prosthetic/Orthotic Supplier 150 County Club Drive, Suite 200, Stockbridge, GA 30281 2019-03-25
1356814172 Kristina Louissaint Nurse Practitioner 650 Country Club Dr, Stockbridge, GA 30281 2019-01-03
1942789284 Cameren Barnes Physical Therapist 5473 N Henry Blvd, Stockbridge, GA 30281 2018-08-08
Find all providers in zip 30281

Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013327642 Richard Allen Boe Jr. Orthopaedic Surgery 2041 Mesa Valley Way Ste 100, Austell, GA 30106-6856 2014-05-05
1881895035 Providence Orthopedics & Sports Medicine, PC Orthopaedic Surgery 1401 W Spring St, Suite 200, Monroe, GA 30655-1760 2007-05-29
1265701304 Tattnall Hospital Company LLC Orthopaedic Surgery 459 Ga Highway 119 S, Springfield, GA 31329-3021 2011-12-19
1760627699 Stattesboro Orthopaedic Center, Inc Orthopaedic Surgery 1497 Fair Rd, Ste 101, Statesboro, GA 30458-0823 2008-12-05
1851551535 Jeffrey Peretz Orthopaedic Surgery 5671 Peachtree Dunwoody Rd Ne, Suite 700, Atlanta, GA 30342-5000 2008-06-16
1801950712 Randall Miller Meredith Orthopaedic Surgery 811 13th St, Suite 20, Augusta, GA 30901-2700 2006-12-22
1407923089 Dublin Multispecialty LLC Orthopaedic Surgery 100 Medical Dr, Suite 100 & 200, Dublin, GA 31021 2006-11-29
1518977701 Timothy Richard Young Orthopaedic Surgery 1 Freedom Way, Vamc Orthopedics, Augusta, GA 30904-6258 2006-08-09
1720019698 Thomas Lane Bradbury Jr. Orthopaedic Surgery 59 Executive Park S, Atlanta, GA 30329-2208 2006-07-06
1295761450 Greg Erens Orthopaedic Surgery 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 2006-06-22
Find all providers with the same taxonomy

Competitor

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City STOCKBRIDGE
Zip Code 30281

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Dataset Information

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.

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