DR. MIGUEL B DELMAZO (NPI# 1598904740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598904740 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL B DELMAZO |
| Credential | MD |
| Practice Address |
3215 Mcclure Bridge Rd Duluth GA 30096 |
| Mailing Address |
Po Box 658 Gainesville GA 30503-0658 |
| Practice Telephone | 6783126200 |
| Practice Fax Number | 6783126226 |
| Mailing Telephone | 7707181122 |
| Mailing Fax Number | 7705357445 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 065651 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003114073J | 05 | |
| GA | AMERIGROUP | 02378992 | 01 |
| GA | BCBS | 52515750 | 01 |
| GA | AETNA | 9738749 | 01 |
| GA | 003114073F | 05 | |
| GA | CIGNA | 9672923 | 01 |
| GA | 003114073H | 05 | |
| GA | 003114073I | 05 | |
| GA | 003114073N | 05 | |
| GA | 003114073K | 05 | |
| GA | COVENTRY | 1489990 | 01 |
| GA | 003114073G | 05 | |
| GA | 003114073M | 05 | |
| GA | WELLCARE | 1022567 | 01 |
| GA | 003114073L | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Jesse Jewell Pkwy Se, Gainesville, GA 305013834 | 7705340110 | 7705342555 |
| Street Address |
3215 MCCLURE BRIDGE RD |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
| 1356846216 | Glancy Hospitalist Group LLC | Internal Medicine | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2018-03-24 |
| 1184158016 | Flavia Galarraga | Dietitian, Registered | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2017-04-18 |
| 1891156337 | Christina Curran | Specialist/Technologist | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2016-03-11 |
| 1033525878 | Ugo Bitussi | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2014-07-01 |
| 1457521726 | Jay B Bender | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2008-03-03 |
| 1295898880 | Atlanta Rehabilitation Consultants PC | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-12-18 |
| 1639231350 | Sunil Bhole | Physical Medicine & Rehabilitation | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-12-16 |
| 1114938172 | Robert Lawrence Richard | Surgery | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072025 | Erjia Bao | Surgery | 11205 Abbotts Walk Dr, Duluth, GA 30097-8457 | 2017-06-07 |
| 1861733495 | Karen Warlaw | Surgery | 3936 Carriage Gate Dr, Duluth, GA 30096-2785 | 2013-03-06 |
| 1659497907 | Jerry Curtis Tootle | Surgery | 2655 Gadsen Walk, Duluth, GA 30097-4351 | 2007-03-21 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1952691925 | Jennifer E Witt | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-12 |
| 1447540521 | Joshua M Larson | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-11 |
| 1336468107 | Nisar Zaidi | Surgery | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-05-19 |
| 1639494362 | Kristin Pokorney Colling | Surgery | 400 E 3rd St, Duluth, MN 55805 | 2010-04-06 |
| 1346579349 | Krista Wilhelmson | Surgery | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-12-22 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on DR. MIGUEL B DELMAZO.
| 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.