DR. DEAN P KOSTAKOS


Address: 1380 Upper Hembree Rd, Roswell, GA 30076-1146
Phone: 7703467500

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 1380 UPPER HEMBREE RD
City ROSWELL
State GA
Zip Code 30076-1146

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ROSWELL
Zip Code 30076

Improve Information

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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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