PERIMETER OB/GYN CARE, LLC (NPI# 1639114556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639114556 |
| Entity Type | Organization |
| Organization Name | PERIMETER OB/GYN CARE, LLC |
| Practice Address |
1462 Montreal Rd Tucker GA 30084-6932 |
| Mailing Address |
3025 Breckinridge Blvd Duluth GA 30096-4979 |
| Practice Telephone | 7703963496 |
| Mailing Telephone | 6782260082 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | STUART J PANCER (OWNER) |
| Authorized Official Telephone | 7703962496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 040187 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1462 MONTREAL RD |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194711093 | William C Tippins Jr. | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2005-09-26 |
| 1891243960 | Metro Community Healthcare LLC | Nurse Practitioner | 1462 Montreal Rd, Suite 418, Tucker, GA 30084-6932 | 2016-09-16 |
| 1093109795 | Medical Associates of Georgia | Internal Medicine | 1462 Montreal Rd, 307, Tucker, GA 30084-6929 | 2015-03-20 |
| 1205229192 | Advanced Orthopedic Surgery Center LLC | Clinic/Center | 1462 Montreal Rd, Suite 109, Tucker, GA 30084-6929 | 2015-03-17 |
| 1396085106 | Charlene Ann Morgan | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084 | 2013-02-15 |
| 1033458906 | Mark Monterola | Pharmacy Technician | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2013-02-12 |
| 1477897288 | Amy Suzanne Duggan | Pharmacist | 1462 Montreal Rd, Tucker, GA 30084-6929 | 2012-11-16 |
| 1275809527 | Una Pharmacy Corporation | Pharmacy | 1462 Montreal Rd, Suite 101, Tucker, GA 30084-6929 | 2012-03-30 |
| 1316223514 | Una Pharmacy | Pharmacy | 1462 Montreal Rd, Ste 101, Tucker, GA 30084-6929 | 2011-11-01 |
| 1275840068 | Tucker Family Practice, L.L.C. | Family Medicine | 1462 Montreal Rd, Suite 307, Tucker, GA 30084-6929 | 2010-09-01 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851649453 | James E. Dopson, M.d. | Obstetrics & Gynecology | 1918 Northlake Parkway, Suite 101, Tucker, GA 30084 | 2012-08-29 |
| 1851409858 | Catherine M Salazar | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1407810781 | Jesse Lee Jones | Obstetrics & Gynecology | 1370 Montreal Rd, Suite 170, Tucker, GA 30084-8128 | 2006-04-14 |
| 1013046044 | Perimeter Ob Gyn Care 2 LLC | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2007-03-05 |
| 1083725295 | Stanley John Jagielski | Obstetrics & Gynecology | 200 Crescent Centre Parkway, Kaiser Permanente Crescent Centre Medical Center, Tucker, GA 30084 | 2006-08-31 |
| 1851402069 | Lisa A Marquardt | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1225149438 | Alyssa S Dayton | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1659482867 | Constance W Knauf | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics& Gynecology, Tucker, GA 30084 | 2006-08-31 |
| 1720196728 | Jacqueline M Anglade | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1861488629 | Leslie A Pope | Obstetrics & Gynecology | 1462 Montreal Rd, Suite 412, Tucker, GA 30084-6929 | 2005-09-27 |
| 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.