MARIETTA OUTPATIENT SURGERY, LTD (NPI# 1669437109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669437109 |
| Entity Type | Organization |
| Organization Name | MARIETTA OUTPATIENT SURGERY, LTD |
| Practice Address |
780 Canton Rd Ne Suite 100 Marietta GA 30060-7241 |
| Practice Telephone | 7704221579 |
| Practice Fax Number | 7704221057 |
| Mailing Telephone | 7704221579 |
| Mailing Fax Number | 7704221057 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | WILLIAM GREGORY SWINNEY (VP) |
| Authorized Official Telephone | 9727892877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
033163 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00354593A | 05 |
| Street Address |
780 CANTON RD NE SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717688 | Andrew Everett Sutton | Otolaryngology | 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 | 2005-08-12 |
| 1326431552 | Lisa Holtzclaw Brown | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-03-12 |
| 1811380025 | Wellstar Medical Group, LLC | Psychiatry & Neurology | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 | 2015-03-12 |
| 1548653017 | Heather Roberts | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-03-09 |
| 1235528266 | Christi Howard | Nurse Practitioner | 780 Canton Rd Ne, Suite 410, Marietta, GA 30060-7241 | 2015-01-14 |
| 1003128240 | Jennifer Irene Sarno | Nurse Practitioner | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7241 | 2010-07-03 |
| 1396066064 | Jonathan Woolfson Md, PC | Ophthalmology | 780 Canton Rd Ne, Suite 100, Marietta, GA 30060-7241 | 2010-06-17 |
| 1467637538 | Matthew J. Novak, Md, P.C. | Specialist | 780 Canton Rd Ne, Suite 320, Marietta, GA 30060-7241 | 2008-01-08 |
| 1144428251 | Sleep Health Diagnostics,llc. | Clinic/Center | 780 Canton Rd Ne, Suite 310, Marietta, GA 30060-7241 | 2007-07-10 |
| 1861510687 | Geralyn Drumheller | Audiologist | 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108845 | Marietta Advanced Surgery Center | Clinic/Center | 1371 Church Street Ext Ne Ste 100, Marietta, GA 30060-7913 | 2019-01-17 |
| 1700369071 | Alliance Surgery Center At Marietta, LLC | Clinic/Center | 400 Tower Rd Ne Ste 375, Marietta, GA 30060-9417 | 2018-09-12 |
| 1952814352 | Medici Surgical Center, LLC | Clinic/Center | 792 Church St Ne Ste 101, Marietta, GA 30060-7291 | 2017-11-08 |
| 1770004772 | Northwest Atlanta Vascular Care LLC | Clinic/Center | 711 Canton Rd Ne Ste 230, Marietta, GA 30060-8949 | 2017-06-29 |
| 1568864452 | Carpus Surgery Center LLC | Clinic/Center | 3775 Roswell Rd, Suite 275, Marietta, GA 30062-8836 | 2014-09-23 |
| 1881001758 | Asuch Surgery Center | Clinic/Center | 2285 Asquith Ave Sw, Suite 100, Marietta, GA 30008-6008 | 2014-07-12 |
| 1235559378 | Skin Cancer Specialists Surgery Center, LLC | Clinic/Center | 835 Cogburn Ave Nw, Suite 200, Marietta, GA 30060-1031 | 2014-04-16 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1750629325 | Premier Ambulatory Surgical Center, LLC | Clinic/Center | 211 Chicopee Dr Ne, Marietta, GA 30060-1269 | 2013-01-16 |
| 1639499627 | Georgia Urology, Pa | Clinic/Center | 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 | 2010-06-02 |
| Find all providers in MARIETTA | ||||
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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.