KENNESTONE HEART PHYSICIANS GROUP, PC (NPI# 1548496433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548496433 |
Entity Type | Organization |
Organization Name | KENNESTONE HEART PHYSICIANS GROUP, PC |
Practice Address |
1230 Johnson Ferry Pl Suite B-10 Marietta GA 30068-2048 |
Mailing Address |
355 Tower Rd Ne Suite 300 Marietta GA 30060-9408 |
Practice Telephone | 7705090017 |
Practice Fax Number | 7709717818 |
Mailing Telephone | 7704264721 |
Mailing Fax Number | 7704240391 |
Enumeration Date | 2009-06-05 |
Last Update Date | 2009-06-05 |
Authorized Official Name | KATIE DOYLE (MANAGER, PHYSICIAN SERVICES) |
Authorized Official Telephone | 6787974113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
00058204 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932342763 | Kennestone Heart Physicians Group, PC | Internal Medicine | 5671 Peachtree Dunwoody Rd Ne, Suite 320, Atlanta, GA 30342-5000 | 2009-04-09 |
1285877274 | Kennestone Heart Physicians Group, PC | Internal Medicine | 2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809 | 2009-04-07 |
1144462151 | Kennestone Heart Physicians Group, PC | Internal Medicine | 40 Fox Chase, Cartersville, GA 30120-2491 | 2009-04-06 |
1184864258 | Kennestone Heart Physicians Group, PC | Internal Medicine | 720 Transit Ave, Building 100, Suite 102, Canton, GA 30114-2540 | 2009-03-02 |
Street Address |
1230 JOHNSON FERRY PL SUITE B-10 |
City | MARIETTA |
State | GA |
Zip Code | 30068-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457354185 | Alison Drake-barrack | Physical Medicine & Rehabilitation | 1230 Johnson Ferry Pl, Suite H 15, Marietta, GA 30068-2048 | 2005-05-27 |
1053942607 | Juliana Bernardo Da Silva Zardo | Registered Nurse | 1230 Johnson Ferry Pl, Marietta, GA 30068-2048 | 2020-02-03 |
1841703188 | Sinan N Feidy | Chiropractor | 1230 Johnson Ferry Pl, Marietta, GA 30068-2048 | 2017-11-08 |
1659823425 | Everwell Acupuncture Center LLC | Health Maintenance Organization | 1230 Johnson Ferry Pl, Suite I-20, Marietta, GA 30068-2048 | 2016-10-27 |
1689125395 | Sarah Richardson | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2016-10-18 |
1629527775 | Everwell Acupuncture Center LLC | Health Maintenance Organization | 1230 Johnson Ferry Pl, Suite I-20, Marietta, GA 30068-2048 | 2016-09-30 |
1467811265 | Youthful Essence Md, LLC | Family Medicine | 1230 Johnson Ferry Pl, Suite A10, Marietta, GA 30068-2048 | 2016-02-22 |
1881053338 | Christina Hartmann | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2016-02-12 |
1891169884 | Leslie Mcroberts | Occupational Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2015-11-14 |
1487036430 | Patricia Marie Williams | Physical Therapist | 1230 Johnson Ferry Pl, Suite G-10, Marietta, GA 30068-2048 | 2015-06-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
Find all providers in zip 30068 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1972528040 | Jennifer M Jones | Internal Medicine | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2006-07-12 |
1447291216 | Vineet Dua | Internal Medicine | 3747 Roswell Rd Ste 213, Marietta, GA 30062-6227 | 2006-06-10 |
1699721662 | Kennestone Heart Physicians Group | Internal Medicine | 355 Tower Road, Suite 300, Marietta, GA 30060 | 2006-05-25 |
1821066739 | Gregory L Simone | Internal Medicine | 604 Keeler Woods Dr Nw, Marietta, GA 30064-2064 | 2006-03-08 |
1285639641 | Joseph R Mayo | Internal Medicine | 400 Matthew St, Ste 302, Marietta, OH 45750-1644 | 2005-06-14 |
1336543529 | Wellstar Medical Group, LLC | Internal Medicine | 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 | 2014-10-16 |
1386064962 | Joshua Randall Clevenger | Internal Medicine | 400 Matthew St Ste 302, Marietta, OH 45750-1656 | 2014-04-22 |
1306178256 | Motaz Moussa | Internal Medicine | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2010-02-03 |
1538303409 | Richard A Bardack | Internal Medicine | 55 Whitcher St Ne, Suite 350, Marietta, GA 30060-1155 | 2009-04-22 |
1285877274 | Kennestone Heart Physicians Group, PC | Internal Medicine | 2513 Shallowford Rd, Building 100, Marietta, GA 30066-6809 | 2009-04-07 |
Find all providers in MARIETTA |
Please comment or provide details below to improve the information on KENNESTONE HEART PHYSICIANS GROUP, PC.
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.