MARIOLINO DA GRACA FERNANDES (NPI# 1275094310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275094310 |
Entity Type | Individual |
Full Name | MARIOLINO DA GRACA FERNANDES |
Practice Address |
3240 Northeast Expy Ne Atlanta GA 30341-4003 |
Mailing Address |
6211 Hickory Lane Cir Union City GA 30291-5506 |
Practice Telephone | 4044809330 |
Mailing Telephone | 6177773426 |
Enumeration Date | 2019-03-29 |
Last Update Date | 2019-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
1148299 | GA | Allopathic & Osteopathic Physicians |
Street Address |
3240 NORTHEAST EXPY NE |
City | ATLANTA |
State | GA |
Zip Code | 30341-4003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609496058 | Kimberly Ann Carroll | Physician Assistant | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2020-04-25 |
1568003929 | Alexandra Christine Parker | Physician Assistant | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-10-07 |
1922652437 | Justin Nixon | Specialist/Technologist | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
Find all providers in zip 30341 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
1104832906 | Spero G Karas | Orthopaedic Surgery | 59 Executive Park Drive South, Suite 1000, Atlanta, GA 30329 | 2006-08-01 |
1811912611 | Peachtree Orthopaedic Clinic Pa | Orthopaedic Surgery | 2001 Peachtree Rd, Suite 705, Atlanta, GA 30309 | 2006-07-13 |
1780617365 | Alonzo T Sexton II | Orthopaedic Surgery | 1110 W Peachtree St Nw Ste 950, Atlanta, GA 30309-3609 | 2006-07-08 |
1285623850 | Dunwoody Physician Practice Network Inc | Orthopaedic Surgery | 4500 N Shallowford Rd, Suite 500, Atlanta, GA 30338-6476 | 2005-10-17 |
1780215038 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 5505 Roswell Rd Ste 100, Atlanta, GA 30342-1983 | 2020-01-27 |
1073153409 | Aica Orthopedics, P. C. | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-01-14 |
1366787723 | Lindsey Helen Taylor | Orthopaedic Surgery | 5505 Roswell Rd, Suite 100, Atlanta, GA 30342-1985 | 2012-12-11 |
1609025790 | Daniel Alan Nicholson | Orthopaedic Surgery | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2008-09-12 |
1518143676 | James Saylor Kercher | Orthopaedic Surgery | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1476 | 2008-01-18 |
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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.