MIGUEL E STUBBS M D P C (NPI# 1518334200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518334200 |
| Entity Type | Organization |
| Organization Name | MIGUEL E STUBBS M D P C |
| Practice Address |
230 Beaver Falls Pl Sw Atlanta GA 30331-8326 |
| Practice Telephone | 4048035246 |
| Practice Fax Number | 7709915012 |
| Mailing Telephone | 4048035246 |
| Mailing Fax Number | 7709915012 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | DR. MIGUEL E STUBBS (CEO) |
| Authorized Official Telephone | 4048035246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
037708 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00603006I | 05 |
| Street Address |
230 BEAVER FALLS PL SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-8326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545553 | Palcare Health LLC | Internal Medicine | 1315 Merry Ln Ne, Atlanta, GA 30329-3903 | 2019-06-05 |
| 1952557977 | Diego Hernando Remolina | Internal Medicine | 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 | 2008-08-11 |
| 1437261617 | R. Elliott Jackson Geriatrics,llc | Internal Medicine | 2650 Weigelia Rd Ne, Atlanta, GA 30345-3969 | 2006-08-31 |
| 1649382060 | Mounir Darradji | Internal Medicine | 1019 Winding Ridge Ct, Atlanta, GA 30338-3949 | 2006-08-31 |
| 1053345025 | Cooper Medical Associates LLC | Internal Medicine | 448 Ralph David Abernathy Blvd Sw, #2, Atlanta, GA 30312-2404 | 2006-07-10 |
| 1760425623 | Kieran Alexander Cooper | Internal Medicine | 448 Ralph David Abernathy Swblvd Sw2, Atlanta, GA 30312-2404 | 2006-06-14 |
| 1437141389 | Abraham A Oyewo | Internal Medicine | 80 Jessie Hill, Grady Health System, Atlanta, GA 30303 | 2005-08-17 |
| 1881064467 | Geps Physician Group of Georgia PC | Internal Medicine | 2850 Springdale Rd Sw, Atlanta, GA 30315-7802 | 2015-09-25 |
| 1912387259 | Jorge Isaac Pena Garcia | Internal Medicine | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2015-06-02 |
| 1528455458 | Monica Denice Gavaller | Internal Medicine | 720 Westview Dr Sw, Atlanta, GA 30310-1458 | 2015-04-17 |
| 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.