DR. INESSA FISHMAN (NPI# 1427236413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427236413 |
| Entity Type | Individual |
| Full Name | DR. INESSA FISHMAN |
| Credential | M.D. |
| Practice Address |
1100 Johnson Fy Rd Ne Ste 470 Atlanta GA 30342-5031 |
| Practice Telephone | 6789748435 |
| Practice Fax Number | 6789748476 |
| Mailing Telephone | 6789748435 |
| Mailing Fax Number | 6789748476 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2019-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD.32089 | AL | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
MD.32089 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FF43433931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295064640 | Inessa M Fishman | Speech-Language Pathologist | 19205 Radnor Rd, Hollis, NY 11423-1026 | 2009-12-14 |
| Street Address |
1100 JOHNSON FY RD NE STE 470 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486955 | Louis Michael Dejoseph | Plastic Surgery | 6085 Barfield Road Northeast Suite 100, Atlanta, GA 30328 | 2006-10-04 |
| 1376689901 | Clinton D. Mccord Jr. | Plastic Surgery | 3200 Downwood Cir Nw, Suite 640, Atlanta, GA 30327-1610 | 2007-01-30 |
| 1104883859 | William E Silver | Plastic Surgery | 980 Johnson Fy Rd Ne, Ste 110, Atlanta, GA 30342-1626 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293584 | Joel M Stewart Jr. | Plastic Surgery | 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214-7662 | 2006-06-14 |
| 1518212166 | Maria Helena Nascimento De Lima | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2012-07-19 |
| 1871829192 | Oculofacial Plastic Surgeons of Georgia, LLC | Plastic Surgery | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2009-10-21 |
| 1467494559 | Patricia Yugueros | Plastic Surgery | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1549 | 2006-06-12 |
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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.