OPTIMUM HEALTH SPINAL REHABILITATION (NPI# 1427147727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427147727 |
Entity Type | Organization |
Organization Name | OPTIMUM HEALTH SPINAL REHABILITATION |
Other Organization Name | OPTIMUM HEALTH BUFORD |
Practice Address |
2855 Lawrenceville Suwanee Rd Suite 760 318 Suwanee GA 30024-3563 |
Mailing Address |
4125 Buford Dr Ste 1-b Buford GA 30518-3459 |
Practice Telephone | 6785460550 |
Practice Fax Number | 6785466885 |
Mailing Telephone | 6787143053 |
Mailing Fax Number | 6787143063 |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ALEXANDER JUTIS (OWNER) |
Authorized Official Telephone | 6787143053 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 111N00000X | Chiropractor | Chiropractic Providers | ||
X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Optimum Health Buford | Doing Business As Name - Organization |
Street Address |
2855 LAWRENCEVILLE SUWANEE RD SUITE 760 318 |
City | SUWANEE |
State | GA |
Zip Code | 30024-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625686 | Grace Yvonne House | Counselor | 2855 Lawrenceville Suwanee Rd, Suwanee, GA 30024-3563 | 2020-10-07 |
1871670968 | Shelley L Martin | Chiropractor | 2855 Lawrenceville Suwanee Rd, Suite 760-318, Suwanee, GA 30024-3563 | 2006-11-01 |
1568551877 | Jutis Clinics | Chiropractor | 2855 Lawrenceville Suwanee Rd, Suwanee, GA 30024-3563 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
Find all providers in zip 30024 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033673371 | Rebecca Capata Sarlea | Chiropractor | 425 Buford Hwy Ste 102, Suwanee, GA 30024-2692 | 2019-01-30 |
1891287017 | Karsten Gary Mcgowan | Chiropractor | 2222 Lake Haven Way, Suwanee, GA 30024-3252 | 2018-06-04 |
1780184770 | Lifespring Family Chiropractic | Chiropractor | 5400 Laurel Springs Pkwy Ste 801, Suwanee, GA 30024-6096 | 2018-02-15 |
1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
1831630524 | Dongwook Lee | Chiropractor | 686 Peachtree Industrial Blvd, Ste 210, Suwanee, GA 30024-3043 | 2017-03-14 |
1831550300 | Shakira N Lee | Chiropractor | 4411 Suwanee Dam Rd Ste 635, Suwanee, GA 30024-8708 | 2016-03-11 |
1285015222 | Sugarloaf Pain & Rehab | Chiropractor | 1325 Satellite Blvd Nw Ste 601, Suwanee, GA 30024-4709 | 2015-06-16 |
1811389430 | Joshua Hasty | Chiropractor | 2615 Peachtree Pkwy, 270, Suwanee, GA 30024-1022 | 2015-02-19 |
1346641008 | Patrick Bk Yi | Chiropractor | 80 Horizon Dr Ste 302, Suwanee, GA 30024 | 2014-09-11 |
1760883896 | Jennifer Sue Wozniak | Chiropractor | 3370 Lawrenceville Suwanee Rd, Suite 118, Suwanee, GA 30024-6569 | 2014-09-08 |
Find all providers in SUWANEE |
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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.