DR. LEONIDAS JOHN DEALBUQUERQUE (NPI# 1467555490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467555490 |
| Entity Type | Individual |
| Full Name | DR. LEONIDAS JOHN DEALBUQUERQUE |
| Credential | M.D. |
| Practice Address |
1395 S Marietta Pkwy Se Building 100 Suite 101 Marietta GA 30067-4440 |
| Practice Telephone | 7704258700 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 012868 | GA | Other Service Providers |
| Street Address |
1395 S MARIETTA PKWY SE BUILDING 100 SUITE 101 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267640 | Eric David Solomon | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Ste 102, Marietta, GA 30067-4440 | 2005-12-30 |
| 1417576455 | Davis, Paquette, and Molineaux Holdings, LLC | Non-emergency Medical Transport (VAN) | 1395 S Marietta Pkwy Se, Ste 730 Office A, Marietta, GA 30067 | 2020-04-09 |
| 1851842652 | Philip Garofano | Nurse Practitioner | 1395 S Marietta Pkwy Se, Marietta, GA 30067-4440 | 2016-10-18 |
| 1982153359 | Agape Chronic Care, LLC | Clinical Nurse Specialist | 1395 S Marietta Pkwy Se, Suite 730, Marietta, GA 30067-4440 | 2016-09-27 |
| 1013308923 | Sarah Winter | Physical Therapy Assistant | 1395 S Marietta Pkwy Se, Bldg. 200 Ste 212, Marietta, GA 30067-4440 | 2015-02-13 |
| 1194128447 | Procare Medical Group, LLC | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Suite 102, Marietta, GA 30067-4440 | 2014-10-01 |
| 1689017352 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 1395 S Marietta Pkwy Se, Ste 910, Marietta, GA 30067-4440 | 2013-04-12 |
| 1184997439 | Northside Psychological Services, Inc. | Psychologist | 1395 S Marietta Pkwy Se, Bldg. 400, Suite 112, Marietta, GA 30067-4440 | 2012-02-16 |
| 1679749758 | The Harville Group | Pharmacy | 1395 S Marietta Pkwy Se, Bldg 400-105, Marietta, GA 30067-4440 | 2008-05-07 |
| 1477679488 | David L. Cook | Optometrist | 1395 S Marietta Pkwy Se, Bld. 400, Ste. 116, Marietta, GA 30067-4440 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| 1982077889 | Jane A Cases Md Comprehensive Lifestyle Center LLC | Specialist | 242 Pike St, Marietta, OH 45750-3322 | 2015-11-02 |
| 1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
| 1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
| 1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
| 1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
| 1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
| 1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
| 1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
| 1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
| Find all providers in MARIETTA | ||||
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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.