IORA SENIOR HEALTH, INC (NPI# 1518446194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518446194 |
| Entity Type | Organization |
| Organization Name | IORA SENIOR HEALTH, INC |
| Practice Address |
4424 Hugh Howell Rd Ste D Tucker GA 30084-4905 |
| Mailing Address |
101 Tremont St Fl 6 Boston MA 02108-5004 |
| Practice Telephone | 4046924466 |
| Practice Fax Number | 8445727080 |
| Mailing Telephone | 6174544672 |
| Mailing Fax Number | 6177017740 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | RUSHIKA FERNANDOPULLE (PRESIDENT) |
| Authorized Official Telephone | 6174544672 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417441189 | Iora Senior Health, Inc | Internal Medicine | 5006 Center St Ste R, Tacoma, WA 98409-2314 | 2018-06-18 |
| 1417486465 | Iora Senior Health, Inc | Internal Medicine | 13940 W. Meeker Blvd., Suite 101, Sun City West, AZ 85375 | 2017-06-05 |
| 1336628908 | Iora Senior Health, Inc | Internal Medicine | 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860 | 2018-08-14 |
| 1780163360 | Iora Senior Health, Inc | Internal Medicine | 3527 Memorial Dr Unit W, Decatur, GA 30032-2731 | 2018-08-14 |
| 1376038653 | Iora Senior Health, Inc | Internal Medicine | 4960 S Alma School Rd Ste 18, Chandler, AZ 85248-5573 | 2018-06-28 |
| 1013402395 | Iora Senior Health, Inc | Internal Medicine | 10515 N Oracle Rd Ste 185, Oro Valley, AZ 85737-9378 | 2018-06-28 |
| 1952896235 | Iora Senior Health, Inc | Internal Medicine | 17014 W Bell Rd Ste 100, Surprise, AZ 85374-2479 | 2018-06-28 |
| 1215422597 | Iora Senior Health, Inc | Internal Medicine | 4319 W Bell Rd, Glendale, AZ 85308-3530 | 2018-06-28 |
| 1083108740 | Iora Senior Health, Inc | Internal Medicine | 5916 E Mckellips Rd, Mesa, AZ 85215-2755 | 2018-06-18 |
| 1992299671 | Iora Senior Health, Inc | Internal Medicine | 3705 S Meridian Ste B, Puyallup, WA 98373-3709 | 2018-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | IORA SENIOR HEALTH, INC. | 101 Tremont St Fl 6, Boston, MA 02108-5004 |
| Street Address |
4424 HUGH HOWELL RD STE D |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659483733 | Janet Bivens | Family Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084-4905 | 2006-08-31 |
| 1457846727 | Iora Health Georgia, P.C. | Internal Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084 | 2018-06-28 |
| 1710036652 | Monica J.r. Williams | Family Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084-4905 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1891706974 | Syamala D Erramilli | Internal Medicine | 2926 Mountain Industrial Blvd., Tucker, GA 30084 | 2006-08-11 |
| 1396767695 | Bakhtiar Ali | Internal Medicine | 1468 Montreal Rd, Tucker, GA 30084-6901 | 2006-07-24 |
| 1407885833 | Laura Elizabeth Davidson | Internal Medicine | 5019 Lavista Rd, Tucker, GA 30084-3541 | 2006-06-30 |
| 1720016405 | Jennifer Gall Kapella | Internal Medicine | 200 Crescent Center Pkwy, Kaiser Permanente Crescent Medical Center, Tucker, GA 30084-7047 | 2006-06-29 |
| 1972547198 | John William Budell | Internal Medicine | 2175 Northlake Pkwy, Bldg 4 Ste 142, Tucker, GA 30084 | 2006-06-16 |
| 1780626481 | Corporate Medical Care, PC | Internal Medicine | 2151a Idlewood Rd, Tucker, GA 30084-4816 | 2006-06-10 |
| 1245289735 | David Julius Roth | Internal Medicine | 1462 Montreal Rd Ste 303, Tucker, GA 30084-6924 | 2006-05-10 |
| 1831157072 | Donovan Wayne Christie Sr. | Internal Medicine | 2227 Idlewood Rd, Tucker, GA 30084-4827 | 2006-05-03 |
| 1659369338 | Steven J Mccuiston | Internal Medicine | 4905a Lavista Rd, Tucker, GA 30084-4437 | 2005-10-07 |
| 1457846727 | Iora Health Georgia, P.C. | Internal Medicine | 4424 Hugh Howell Rd Ste D, Tucker, GA 30084 | 2018-06-28 |
| Find all providers in TUCKER | ||||
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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.