ORTHOATLANTA, LLC (NPI# 1215260922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215260922 |
| Entity Type | Organization |
| Organization Name | ORTHOATLANTA, LLC |
| Practice Address |
3525 Busbee Dr Nw Kennesaw GA 30144-5677 |
| Mailing Address |
900 Circle 75 Pkwy Se Suite 1700 Atlanta GA 30339-3035 |
| Practice Telephone | 4043521053 |
| Practice Fax Number | 4043500840 |
| Mailing Telephone | 7709536929 |
| Mailing Fax Number | 7709536972 |
| Enumeration Date | 2009-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MICHAEL OCHAL (CEO) |
| Authorized Official Telephone | 7709536929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047005 | Orthoatlanta, LLC | Orthopaedic Surgery | 3929 Peachtree Rd Ne Ste 250, Brookhaven, GA 30319-3374 | 2020-09-09 |
| 1053819854 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 455 Legends Pl Se Ste 890, Atlanta, GA 30339-4245 | 2018-01-26 |
| 1720350747 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2012-02-07 |
| 1982618294 | Orthoatlanta, LLC | Orthopaedic Surgery | 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 | 2006-07-29 |
| 1851937114 | Orthoatlanta, LLC | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2019-11-21 |
| 1629624507 | Orthoatlanta, LLC | Orthopaedic Surgery | 620 Cherokee St Ne Ste 300, Marietta, GA 30060-7202 | 2019-08-15 |
| 1508302472 | Orthoatlanta, LLC | Orthopaedic Surgery | 2785 Highway 54, Peachtree City, GA 30269-1063 | 2017-01-16 |
| 1851756506 | Orthoatlanta, LLC | Orthopaedic Surgery | 1800 Howell Mill Rd Nw, Suite 200, Atlanta, GA 30318-2538 | 2015-12-23 |
| 1386946598 | Orthoatlanta, LLC | Orthopaedic Surgery | 354 Newnan Crossing Byp, Suite 200, Newnan, GA 30265-2323 | 2010-11-19 |
| 1164646139 | Orthoatlanta, LLC | Radiologic Technologist | 6300 Hospital Pkwy, Suite 400, Johns Creek, GA 30097-1828 | 2007-04-12 |
| Street Address |
3525 BUSBEE DR NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-5677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824378 | David Marcus Slotin | Physician Assistant | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 | 2006-03-08 |
| 1871813188 | Neema Patel | Internal Medicine | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 | 2010-06-09 |
| 1346391505 | Joseph W. Boecker | Family Medicine | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 | 2007-01-15 |
| 1275628463 | Larry Feldman | Internal Medicine | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 | 2006-10-04 |
| 1154416345 | William Godfrey | Family Medicine | 3525 Busbee Dr Nw, Suite 100, Kennesaw, GA 30144-5677 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569180 | William S Armstrong | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-09-21 |
| 1730345430 | Le Don Anthony Robinson | Orthopaedic Surgery | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-08-01 |
| 1811184013 | Beatrice Shu | Orthopaedic Surgery | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2007-10-02 |
| 1770797938 | Yaw Dwomou Boachie-adjei | Orthopaedic Surgery | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2007-05-09 |
| 1104953363 | Resurgens, PC | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2007-02-27 |
| 1215034483 | Theodis Buggs Jr. | Orthopaedic Surgery | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2006-09-20 |
| 1962491134 | Michael S. Womack | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-10-19 |
| 1609863976 | Robert A. Kelly | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-10-03 |
| 1063409555 | Glenn J. Jonas | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-09-30 |
| 1417944851 | Brian Z. Makhuli | Orthopaedic Surgery | 270 Chastain Rd Nw, Kennesaw, GA 30144-3012 | 2005-09-30 |
| Find all providers in KENNESAW | ||||
Please comment or provide details below to improve the information on ORTHOATLANTA, LLC.
| 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.