DR. SUSAN MAY WILTRAKIS (NPI# 1578978474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578978474 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MAY WILTRAKIS |
| Credential | M.D. |
| Practice Address |
1405 Clifton Rd Ne Atlanta GA 30322 |
| Mailing Address |
1405 Clifton Rd Ne Atlanta GA 30322-1060 |
| Practice Telephone | 4047850111 |
| Mailing Telephone | 4047855437 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 080384 | GA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2014019933 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Childrens Pl, 3s34, Saint Louis, MO 631101002 | 3144546006 | 3144544102 |
| Street Address |
1405 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167040 | Kiesha Fraser Doh | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2006-01-06 |
| 1316548654 | Alexa Shea | Audiologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-11-03 |
| 1669071866 | Tara Hynes | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-10-20 |
| 1255947628 | Lauren Nicole Halula | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-09-21 |
| 1003424151 | Meagan Green | Nurse Practitioner | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-07-15 |
| 1518587096 | Diane Bailey | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-24 |
| 1194345264 | Meghan Mchale | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-19 |
| 1194344788 | Marisa Winter | Registered Nurse | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-13 |
| 1073142410 | Kaley Laurence French | Student in an Organized Health Care Education/Training Program | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2020-04-07 |
| 1326677600 | Chari Lakey | Technician/Technologist | 1405 Clifton Rd Ne, Atlanta, GA 30322-3050 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.