SOUTHEASTERN RADIOLOGY ASSOC LLC (NPI# 1518138387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518138387 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN RADIOLOGY ASSOC LLC |
| Practice Address |
3200 Downwood Cir Nw Ste 350 Atlanta GA 30327-1610 |
| Practice Telephone | 4043514555 |
| Mailing Telephone | 4043514555 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DAVID S OWENS (OWNER) |
| Authorized Official Telephone | 4043514555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3200 DOWNWOOD CIR NW STE 350 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066088 | Adriana Gardner | Occupational Therapist | 3200 Downwood Cir Nw Ste 350, Atlanta, GA 30327-1611 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770945016 | Charlotte Chung | Radiology | 1364 Clifton Rd Ne Rm D125a, Atlanta, GA 30322-4509 | 2016-03-25 |
| 1295172351 | Philip Kin-wai Wong | Radiology | 1364 Clifton Rd Ne Ste D125, Atlanta, GA 30322 | 2013-05-30 |
| 1982049292 | Mohamed Yahya Al Sawaf | Radiology | 550 Peachtree St. N.w., Atlanta, GA 30309 | 2013-05-01 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1851657571 | Mircea Mihai Cristescu | Radiology | Emory University 1364 Clifton Rd, Atlanta, GA 30322 | 2012-04-06 |
| 1912273483 | Sagar Bipin Amin | Radiology | 1365 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2012-03-28 |
| 1417236241 | Ernst Murphy Ruder | Radiology | 1175 W Garmon Rd Nw, Atlanta, GA 30327-4401 | 2011-08-10 |
| 1124311212 | Colin Michael Segovis | Radiology | Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 | 2011-05-23 |
| 1518265883 | Barbara Erwin Robertson | Radiology | 11 Riverly Pl Nw, Atlanta, GA 30327-2500 | 2011-03-10 |
| 1881918845 | Margaret Fleming | Radiology | 1365 Clifton Road, Department of Radiology, Suite D-125a, Atlanta, GA 30322 | 2010-03-19 |
| Find all providers in ATLANTA | ||||
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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.