MR. JOSEPH EDWARD DICORPO (NPI# 1245328731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245328731 |
Entity Type | Individual |
Full Name | MR. JOSEPH EDWARD DICORPO |
Credential | MMSC, PA, AA-C |
Practice Address |
4230 Ridgehurst Dr Se Smyrna GA 30080-3113 |
Practice Telephone | 7704320095 |
Mailing Telephone | 7704320095 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2013-03-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | 001776 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4230 RIDGEHURST DR SE |
City | SMYRNA |
State | GA |
Zip Code | 30080-3113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
Find all providers in zip 30080 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770591554 | Denny Tsang | Anesthesiologist Assistant | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-08-04 |
1144238916 | Meena Mehta | Anesthesiologist Assistant | 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784119 | Caroline N/a Guan | Anesthesiologist Assistant | 1377 Dresden Dr Ne Apt 5117, Brookhaven, GA 30319-3457 | 2020-09-11 |
1841815925 | Ghazal Motakef | Anesthesiologist Assistant | 365 Victorian Ln, Johns Creek, GA 30097-5769 | 2020-06-14 |
1801446455 | Mednax | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-16 |
1114570553 | Diana Ansley Berry | Anesthesiologist Assistant | 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 | 2019-07-23 |
1346703758 | Alexander Lee | Anesthesiologist Assistant | 1228 Christiana Xing, Lawrenceville, GA 30043-7007 | 2019-04-11 |
1710449897 | Salman Noorali Dewani | Anesthesiologist Assistant | 6371 Crestgate Ln, Tucker, GA 30084-8458 | 2019-04-05 |
1316432537 | Heather Mcintyre | Anesthesiologist Assistant | 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 | 2018-06-29 |
1699292235 | Robin Spierer | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 | 2017-08-24 |
1821512401 | Stephen Chaussinand | Anesthesiologist Assistant | 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 | 2017-07-26 |
1790206381 | Andres Felipe Hernandez | Anesthesiologist Assistant | 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 | 2017-07-05 |
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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.