MR. NATHAN MORDEL (NPI# 1245298082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245298082 |
Entity Type | Individual |
Full Name | MR. NATHAN MORDEL |
Credential | MD |
Practice Address |
105 Collier Rd Ste 1010 Atlanta GA 30309 |
Practice Telephone | 4043554885 |
Practice Fax Number | 4043552210 |
Mailing Telephone | 4043554885 |
Mailing Fax Number | 4043552210 |
Enumeration Date | 2006-05-02 |
Last Update Date | 2015-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
045895 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00800148A | 05 | |
GA | MEDICARE ID/105 COLLIER ROAD SUITE 1010 | 16BBBSP | 01 |
GA | GA. MED. LICENSE | 45895 | 01 |
GA | MEDICARE RAILROAD PIN | DA6300 | 01 |
Street Address |
105 COLLIER RD STE 1010 |
City | ATLANTA |
State | GA |
Zip Code | 30309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486364 | Martha Morgan | Marriage & Family Therapist | 105 Collier Rd, Suite 4040, Atlanta, GA 30309 | 2020-08-06 |
1922457852 | Jessica Aman Meagher | Physician Assistant | 105 Collier Rd, Suite 1040, Atlanta, GA 30309 | 2016-06-10 |
1245609684 | Adam S Froerer | Marriage & Family Therapist | 105 Collier Rd, Suite 4040, Atlanta, GA 30309 | 2015-09-16 |
1023409232 | Carla P Smith | Social Worker | 105 Collier Rd, Suite 4040, Atlanta, GA 30309 | 2015-02-10 |
1164609335 | Heather Noel Gibbons | Obstetrics & Gynecology | 105 Collier Rd, Suite 1010, Atlanta, GA 30309-1730 | 2008-01-30 |
1659457380 | Nancy Canter Weiner | Ophthalmology | 105 Collier Rd, Ste 5030, Atlanta, GA 30309 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
Find all providers in zip 30309 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
1780904896 | Jana Dopson Illston | Obstetrics & Gynecology | 980 Johnson Fy Rd Ne Ste 720, Atlanta, GA 30342-1628 | 2010-06-11 |
1730362732 | Eldred Bernard Taylor | Obstetrics & Gynecology | 5901 Peachtree Dunwoody Rd Ne # C, Suite 25, Atlanta, GA 30328-5382 | 2007-12-12 |
1528276904 | Jean V Longley | Obstetrics & Gynecology | 6195 Heards Creek Dr Nw, Atlanta, GA 30328-3653 | 2007-05-18 |
1134342744 | Beverly Goode Douglas | Obstetrics & Gynecology | 1046 Lenox Crst Ne, Atlanta, GA 30324-2700 | 2007-04-11 |
1669571295 | Lisa Flowers | Obstetrics & Gynecology | 49 Jesse Hill Jr Dr Se Fl 3, Atlanta, GA 30303-3049 | 2006-09-21 |
1700801206 | Michael David Randell | Obstetrics & Gynecology | 5667 Peachtree Dunwoody Rd Ste 280, Atlanta, GA 30342-1714 | 2006-07-13 |
1346273364 | Carl W Sherrer | Obstetrics & Gynecology | 77 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1754 | 2006-07-10 |
1982669891 | Kenneth M Twiddy | Obstetrics & Gynecology | 235 W. Wieuca Rd, Atlanta Women's Center, Atlanta, GA 30342 | 2006-04-20 |
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.