PULMONARY WELLSTAR (NPI# 1306110424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306110424 |
| Entity Type | Organization |
| Organization Name | PULMONARY WELLSTAR |
| Practice Address |
55 Witcher St Suite 160 Marietta GA 30060 |
| Mailing Address |
335 Shadowood Parkway Apt 335 Atlanta GA 30339 |
| Practice Telephone | 7704221372 |
| Mailing Telephone | 7063339188 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. MEDEL REYES (MD, SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 7704221372 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Street Address |
55 WITCHER ST SUITE 160 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114450749 | Alisa Oates | Special Hospital | 116 Faybrook Dr, Byron, GA 31008-9530 | 2017-04-11 |
| 1144591553 | Royston Animal Hospital | Special Hospital | 2888 W Main St, Royston, GA 30662-7003 | 2012-01-17 |
| 1073826590 | Atlanta Medical Center | Special Hospital | 401 Windy Ridge Ln Se, Atlanta, GA 30339-2432 | 2010-07-26 |
| 1225035462 | The Specialty Hospital, LLC | Special Hospital | 320 Turner Mccall Blvd., Rome, GA 30165-5621 | 2005-07-01 |
| 1942660311 | Ashley Garner | Special Hospital | 1 Freedom Way, Augusta, GA 30904-6258 | 2016-02-29 |
| 1477939296 | Select Specialty Hospital | Special Hospital | 5353 Reynolds St, 4 South, Savannah, GA 31405-6015 | 2015-08-04 |
| 1144608316 | Department of Veterans Affairs | Special Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2015-05-08 |
| 1568849008 | Columbus Specialty Hospital | Special Hospital | 616 19th St, Columbus, GA 31901-1528 | 2015-05-05 |
| 1235553512 | Dva Atlanta | Special Hospital | 1670 Clairmont Rd, Mail Code Pod 111, Decatur, GA 30033-4004 | 2014-02-07 |
| 1336386598 | Kim Ent, P.C. | Special Hospital | 3042 Oakcliff Rd, Suite 200, Doraville, GA 30340-2699 | 2009-01-09 |
| Find all providers with the same taxonomy | ||||
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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.