IORA SENIOR HEALTH, INC (NPI# 1336628908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336628908 |
| Entity Type | Organization |
| Organization Name | IORA SENIOR HEALTH, INC |
| Practice Address |
4850 Sugarloaf Pkwy Ste 101 Lawrenceville GA 30044-2860 |
| Mailing Address |
101 Tremont St Fl 6 Boston MA 02108-5004 |
| Practice Telephone | 6784908300 |
| Practice Fax Number | 8447727366 |
| Mailing Telephone | 6174544672 |
| Mailing Fax Number | 6177017740 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | RUSHIKA FERNANDOPULLE (PRESIDENT) |
| Authorized Official Telephone | 6174544672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417441189 | Iora Senior Health, Inc | Internal Medicine | 5006 Center St Ste R, Tacoma, WA 98409-2314 | 2018-06-18 |
| 1417486465 | Iora Senior Health, Inc | Internal Medicine | 13940 W. Meeker Blvd., Suite 101, Sun City West, AZ 85375 | 2017-06-05 |
| 1518446194 | Iora Senior Health, Inc | Internal Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084-4905 | 2018-08-14 |
| 1780163360 | Iora Senior Health, Inc | Internal Medicine | 3527 Memorial Dr Unit W, Decatur, GA 30032-2731 | 2018-08-14 |
| 1376038653 | Iora Senior Health, Inc | Internal Medicine | 4960 S Alma School Rd Ste 18, Chandler, AZ 85248-5573 | 2018-06-28 |
| 1013402395 | Iora Senior Health, Inc | Internal Medicine | 10515 N Oracle Rd Ste 185, Oro Valley, AZ 85737-9378 | 2018-06-28 |
| 1952896235 | Iora Senior Health, Inc | Internal Medicine | 17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 | 2018-06-28 |
| 1215422597 | Iora Senior Health, Inc | Internal Medicine | 4319 W Bell Rd, Glendale, AZ 85308-3530 | 2018-06-28 |
| 1083108740 | Iora Senior Health, Inc | Internal Medicine | 5916 E Mckellips Rd, Mesa, AZ 85215-2755 | 2018-06-18 |
| 1992299671 | Iora Senior Health, Inc | Internal Medicine | 3705 S Meridian Ste B, Puyallup, WA 98373-3709 | 2018-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | IORA SENIOR HEALTH, INC. | 101 Tremont St Fl 6, Boston, MA 02108-5004 |
| Street Address |
4850 SUGARLOAF PKWY STE 101 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871621474 | Susan J Smith | Family Medicine | 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860 | 2007-03-02 |
| 1700370475 | Iora Health Georgia, P.C. | Internal Medicine | 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420573 | Brenda Willis-wade | Internal Medicine | 1600 Keswick Place Dr, Lawrenceville, GA 30043-6627 | 2020-05-30 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1902200835 | Odianosen I Obadan | Internal Medicine | 601 Professional Dr Ste 235a, Lawrenceville, GA 30046-7697 | 2014-10-21 |
| 1831416270 | Nidhip Anil Patel | Internal Medicine | 500 Medical Center Blvd Ste 310, Lawrenceville, GA 30046-3332 | 2010-04-26 |
| 1700108784 | North Atlanta Medical Clinic, L.l.c | Internal Medicine | 3664 Club Drive, Suite 201, Lawrenceville, GA 30044 | 2010-02-18 |
| 1932355294 | New Horizons Internal Medicine LLC | Internal Medicine | 771 Old Norcross Rd Ste 110, Lawrenceville, GA 30045-4317 | 2008-08-18 |
| 1376704106 | Samuel Deutsch Md PC | Internal Medicine | 316 W Pike St Ste 100, Lawrenceville, GA 30045-4878 | 2008-06-24 |
| 1033385877 | Neel Jitendra Gandhi | Internal Medicine | 2997 Princeton Pike, #201, Lawrenceville, NJ 08648 | 2008-05-01 |
| 1184899510 | Edward Joseph Ostrowski | Internal Medicine | 276 Fieldboro Dr, Lawrenceville, NJ 08648-3914 | 2008-04-27 |
| 1376717504 | Victorine Mafoueka Nguena | Internal Medicine | 3664 Club Dr Ste 201, Lawrenceville, GA 30044-2959 | 2008-04-18 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.