MARIOLINO DA GRACA FERNANDES


Address: 3240 Northeast Expy Ne, Atlanta, GA 30341-4003
Phone: 4044809330

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
1148299 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 3240 NORTHEAST EXPY NE
City ATLANTA
State GA
Zip Code 30341-4003

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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
Find all providers in ATLANTA

Competitor

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City ATLANTA
Zip Code 30341

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Dataset Information

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.

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