TRAM B CONTRERAS (NPI# 1225550106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225550106 |
Entity Type | Individual |
Full Name | TRAM B CONTRERAS |
Other Name | TRAM B HOANG |
Credential | PA |
Practice Address |
1400 River Pl Braselton GA 30517-5600 |
Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
Practice Telephone | 7705342020 |
Practice Fax Number | 7705348025 |
Mailing Telephone | 7702198420 |
Enumeration Date | 2017-07-12 |
Last Update Date | 2020-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
008519 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1400 RIVER PL |
City | BRASELTON |
State | GA |
Zip Code | 30517-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770568792 | Prasad S Garimella | Internal Medicine | 1400 River Pl, Braselton, GA 30517 | 2005-12-13 |
1821613167 | George K Cleland | Respiratory Therapist, Certified | 1400 River Pl, Braselton, GA 30517-5600 | 2020-06-12 |
1881229094 | Ailin Li Puckett | Nurse Practitioner | 1400 River Pl, Braselton, GA 30517-5600 | 2020-03-09 |
1417589789 | Karen Elizabeth North | Registered Nurse | 1400 River Pl, Braselton, GA 30517-5600 | 2020-02-05 |
1508498809 | Heather M Haff | Nurse Practitioner | 1400 River Pl, Braselton, GA 30517-5600 | 2020-02-05 |
1184158628 | Sreeja Gopinathan | Pediatrics | 1400 River Pl, Braselton, GA 30517-5600 | 2017-04-11 |
1124407283 | Morgan Porras Burnett | Physician Assistant | 1400 River Pl, Braselton, GA 30517-5600 | 2015-05-22 |
1619368289 | Charlotte Bobbitt | Nurse Practitioner | 1400 River Pl, Braselton, GA 30517-5600 | 2015-02-18 |
1801298161 | Elizabeth D. Love | Nurse Practitioner | 1400 River Pl, Braselton, GA 30517-5600 | 2014-09-18 |
1073928222 | Xiaofeng Li | Pharmacist | 1400 River Pl, Braselton, GA 30517-5600 | 2014-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063904076 | Northeast Georgia Dental Group | Dentist | 1205 Friendship Road, Braselton, GA 30517 | 2018-06-05 |
1548772544 | Shaniqua Lynee Sims | Nurse Practitioner | 1515 River Pl Ste 280, Braselton, GA 30517 | 2017-10-30 |
1538671847 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 1255 Frienship Road, Suite 150, Braselton, GA 30517 | 2017-10-26 |
1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
1407140999 | Ashley Williams Zimmerman | Registered Nurse | 1515 River Pl Ste 340, Braselton, GA 30517 | 2011-06-02 |
1891097382 | Thu Mong Tran Nguyen | Dentist | 1702 Ammon Falls Ct, Braselton, GA 30517 | 2010-12-03 |
1053436030 | Andrew L Tam | Dentist | 5122 Hwy 53, Braselton, GA 30517 | 2007-03-20 |
1871503987 | Kathy Baxendale Morse | Nurse Practitioner | 2695 Old Winder Hwy, Suite 200, Pediatric Associates, Braselton, GA 30517 | 2006-08-09 |
1073585782 | Champak Patel | Legal Medicine | 5196 Hwy 53, Braselton, GA 30517 | 2006-02-06 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124407283 | Morgan Porras Burnett | Physician Assistant | 1400 River Pl, Braselton, GA 30517-5600 | 2015-05-22 |
1710396734 | Ifeoma Ezeh Omoregie | Physician Assistant | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2014-08-04 |
1841464732 | Amanda San U Pipkin | Physician Assistant | 1270 Friendship Rd, Braselton, GA 30517-5608 | 2008-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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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.