DR. DEAN P KOSTAKOS (NPI# 1417056847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417056847 |
Entity Type | Individual |
Full Name | DR. DEAN P KOSTAKOS |
Credential | D.P.M. |
Practice Address |
1380 Upper Hembree Rd Roswell GA 30076-1146 |
Practice Telephone | 7703467500 |
Practice Fax Number | 7703468800 |
Mailing Telephone | 7703467500 |
Mailing Fax Number | 7703468800 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 213E00000X | Podiatrist | POD000605 | GA | Podiatric Medicine & Surgery Service Providers |
X | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000605 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | BLUE CROSS BLUE SHIELD | 909671 | 01 |
AETNA HEALTH PLANS | 4407320 | 01 | |
RAIL ROAD MEDICARE | P00166113 | 01 | |
GA | COVENTRY | U28228 | 01 |
Street Address |
1380 UPPER HEMBREE RD |
City | ROSWELL |
State | GA |
Zip Code | 30076-1146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326150251 | Margaret M Still | Internal Medicine | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2006-08-31 |
1003043084 | North Fulton Psychiatric Care PC | Psychiatry & Neurology | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2009-06-17 |
1003070491 | Lisa Christine Montbellier | Physician Assistant | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2008-07-15 |
1720260409 | North Fulton Podiatry | Podiatrist | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2007-12-04 |
1770799702 | Alpharetta Internal Medicine Associates, PC | Clinic/Center | 1380 Upper Hembree Rd, Roswell, GA 30076-1146 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
Find all providers in zip 30076 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326153339 | Michael J King | Podiatrist | 1350 Upper Hembree Rd., Suite 100, Roswell, GA 30076-4651 | 2006-08-20 |
1760490759 | Mark David Antenucci | Podiatrist | 313 West Country Club Rd., Ste. 7, Roswell, NM 88201 | 2006-08-04 |
1558327809 | Mitchell P. Hilsen | Podiatrist | 1350 Upper Hembree Rd, Suite 100, Roswell, GA 30076-0927 | 2006-04-25 |
1972584498 | Joel E Schancupp | Podiatrist | 1030 Woodstock Rd, Ste 3106, Roswell, GA 30075-8271 | 2005-11-10 |
1548624372 | Mark D Antenucci Dpm PC | Podiatrist | 313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 | 2016-04-07 |
1235149196 | Jeffrey Ash | Podiatrist | 300 W Country Club Rd, Suite #130, Roswell, NM 88201-5202 | 2006-08-09 |
1649294067 | Village Podiatry Group, LLC. | Podiatrist | 1350 Upper Hembree Rd, Suite 100, Roswell, GA 30076-4651 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
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.