JOHN S DOUGLAS JR. (NPI# 1669482022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669482022 |
| Entity Type | Individual |
| Full Name | JOHN S DOUGLAS JR. |
| Practice Address |
1364 Clifton Rd Ne Atlanta GA 30322-1059 |
| Practice Telephone | 4047785299 |
| Mailing Telephone | 4047785299 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
014045 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566175 | John Mason Douglas | Nurse Practitioner | 102 W Freedom Dr, Liberty, MS 39645 | 2015-05-06 |
| 1639417108 | John K Douglas | Contractor | 2230 15th St Ne, Washington, DC 20018-1223 | 2013-01-17 |
| 1093837346 | John Elwood Douglas | Internal Medicine | 174 Mcafee Blf, Gray, TN 37615-4067 | 2007-04-06 |
| 1831243393 | John G Douglas | Dentist | 223 Gardenia Ct, Lititz, PA 17543-8307 | 2007-01-22 |
| 1124135793 | John Munroe Douglas Jr. | Internal Medicine | 842 Yorkshire Rd Ne, Atlanta, GA 30306-3249 | 2006-08-23 |
| 1225052707 | John Bradbury Douglas | Dentist | 6622 N Wayne Rd, Westland, MI 48185-7006 | 2006-07-27 |
| 1407840911 | John T Douglas | Nurse Anesthetist, Certified Registered | Highway 16, Palatka, FL 32178-0778 | 2005-09-12 |
| 1851391908 | John Antoni Douglas | Orthopaedic Surgery | 2321 N 400 E Ste 300, Tooele, UT 84074-3440 | 2005-07-29 |
| 1649717984 | John Douglas | Social Worker | 565 Memorial Cir, Advanced Practice Nursing Services, Ormond Beach, FL 32174-5001 | 2017-01-25 |
| 1366769804 | John Christian Douglas | Psychiatry & Neurology | 141 N Central Ave, Hartsdale, NY 10530-1912 | 2010-04-23 |
| Street Address |
1364 CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476248 | Maureen E. Haas | Pharmacist | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2005-06-10 |
| 1730789900 | Gina Renae Martin | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-28 |
| 1053919878 | Yolanda Martin | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-14 |
| 1508463175 | Federico Andres Napoli | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-10-06 |
| 1871109330 | Jazmynn Lee Orellana-noia | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-09-21 |
| 1376156562 | Monica Fajobi | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-26 |
| 1174135586 | Robert Achram | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-18 |
| 1336751932 | Michel Attieh | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-08-17 |
| 1346851417 | Tatiana Tvrdik | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-08-12 |
| 1710596333 | Juna Victoria Konomi Johnson | Anesthesiologist Assistant | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2020-07-29 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869826 | Coordinated Health of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130c, Atlanta, GA 30328-3495 | 2018-01-31 |
| 1821082389 | Jack P Chen | Internal Medicine | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | 2005-09-09 |
| 1861004780 | Innovative Vascular & Vein of Atlanta | Internal Medicine | 1100 Lake Hearn Dr, Atlanta, GA 30342-1523 | 2020-08-21 |
| 1053874727 | Cga Care of Ga, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1790248474 | Cga Care of Ga II, LLC | Internal Medicine | 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 | 2019-04-10 |
| 1427577592 | David Allen | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309-1705 | 2017-09-11 |
| 1366605552 | Pradeep Yadav | Internal Medicine | 95 Collier Rd Nw Ste 5015, Atlanta, GA 30309-1721 | 2008-07-08 |
| 1396807798 | Del Mazo Medical Services | Internal Medicine | 550 Peachtree St Ne, Suite 1035, Atlanta, GA 30308-2221 | 2006-12-14 |
| 1245316496 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 200, Atlanta, GA 30342-2606 | 2006-10-31 |
| 1497840144 | Cardiac Disease Specialists, PC | Internal Medicine | 4890 Roswell Rd Ne, Ste 100, Atlanta, GA 30342-2606 | 2006-10-04 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on JOHN S DOUGLAS JR..
| 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.