DR. EDWARD FRASER SPILKER (NPI# 1447280045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447280045 |
| Entity Type | Individual |
| Full Name | DR. EDWARD FRASER SPILKER |
| Credential | M.D. |
| Practice Address |
1690 Stone Village Lane Nw Suite 921 Kennesaw GA 30152-7714 |
| Practice Telephone | 7705901440 |
| Practice Fax Number | 7707929231 |
| Mailing Telephone | 7705901440 |
| Mailing Fax Number | 7707929231 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 031133 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202I081393 | 01 |
| Street Address |
1690 STONE VILLAGE LANE NW SUITE 921 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-7714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437381415 | Spilker Medical, LLC | Clinic/Center | 1690 Stone Village Lane Nw, Suite 921, Kennesaw, GA 30152-7714 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891174595 | Katherine P. Taylor | Family Medicine | 1301 Shiloh Rd Nw Ste 810, Kennesaw, GA 30144-7156 | 2015-05-27 |
| 1770920258 | Bhavika Rajanikant Patel | Family Medicine | 3895 Cherokee St. Nw #400, Kennesaw, GA 30144 | 2013-05-24 |
| 1760583843 | Yvette Stepheus Crossing | Family Medicine | 750 Tozon Park Lake, Kiaser Permanente, Kennesaw, GA 30144 | 2006-09-25 |
| 1265473656 | Physicians Immediate Med of Cobb, P.C. | Family Medicine | 2481 George Busbee Pkwy Nw, Kennesaw, GA 30144-4961 | 2006-06-09 |
| 1992701007 | James Larry Hornsby Jr. | Family Medicine | 750 Town Park Lane, Town Park Comprehensive Medical Center, Kennesaw, GA 30144 | 2005-06-23 |
| 1427054923 | Candace Frederick Vaughn | Family Medicine | 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2005-06-21 |
| 1184005761 | Chelsea Gonzalez | Family Medicine | 3215 Campus Loop Rd Nw, Kennesaw, GA 30144 | 2015-06-09 |
| 1497019608 | Remmya Nair | Family Medicine | 3805 Cherokee St Nw, Kennesaw, GA 30144 | 2012-07-02 |
| 1558664003 | Wellstar Medical Group, LLC | Family Medicine | 5150 Stilesboro Rd Nw, Suite 120, Kennesaw, GA 30152-7744 | 2010-12-06 |
| 1386965416 | Ketan Bipinchandra Patel | Family Medicine | 750 Townpark Lane, Kaiser Permanete Townpark Comprehensive Medical Center, Kennesaw, GA 30144 | 2010-06-11 |
| Find all providers in KENNESAW | ||||
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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.