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).
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 |
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 |
Street Address |
135 N PARK PL STE 101 |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-7237 |
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 |
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 Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
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. |
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 |
City | STOCKBRIDGE |
Zip Code | 30281 |
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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.