PINECCA PATEL DPM LLC (NPI# 1699266759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699266759 |
| Entity Type | Organization |
| Organization Name | PINECCA PATEL DPM LLC |
| Practice Address |
6 Executive Park Dr Ne Ste 10 Atlanta GA 30329-2224 |
| Practice Telephone | 4043219900 |
| Practice Fax Number | 4043214460 |
| Mailing Telephone | 4043219900 |
| Mailing Fax Number | 4043214460 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | LAUREN KAESER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9128444329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001059 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003202355 | 05 |
| Street Address |
6 EXECUTIVE PARK DR NE STE 10 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588622963 | Natalie Witte | Family Medicine | 6 Executive Park Dr Ne Ste 10, Atlanta, GA 30329-2224 | 2006-05-03 |
| 1922263284 | Gilbert Chan | Orthopaedic Surgery | 6 Executive Park Dr Ne Ste 10, Atlanta, GA 30329-2224 | 2008-07-25 |
| 1164609764 | Albert Martin Pendleton | Orthopaedic Surgery | 6 Executive Park Dr Ne Ste 10, Atlanta, GA 30329-2224 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1013322742 | A. Louis Jimenez D.p.m. PC | Podiatrist | 1150 Hammond Dr Bldg E, Suite 600, Atlanta, GA 30328-5334 | 2014-06-20 |
| 1104183086 | Krum Georgiev | Podiatrist | 3193 Howell Mill Rd Nw Ste 326, Atlanta, GA 30327-2100 | 2012-04-18 |
| 1255642609 | Erinn Nicole Ponder | Podiatrist | 275 Carpenter Dr, # 106, Atlanta, GA 30328-4928 | 2010-06-30 |
| 1538492962 | Bednarz Foot and Ankle Pllc | Podiatrist | 107 Peachtree Hills Ave Ne, Atlanta, GA 30305-4303 | 2009-09-17 |
| 1427229475 | Affiliated Foot and Ankle, P.C. | Podiatrist | 3025 Maple Dr Ne Ste 2, Atlanta, GA 30305-2618 | 2008-03-18 |
| 1467644880 | Focus Foot & Ankle Centers, LLC | Podiatrist | 5491 Roswell Rd Ne, Suite B, Atlanta, GA 30342-1911 | 2007-08-10 |
| 1831179886 | Annette D. Filiatrault | Podiatrist | 3025 Maple Dr Ne, Suite 2, Atlanta, GA 30305-2618 | 2006-01-17 |
| 1174143770 | Affiliated Foot and Ankle, P.C. | Podiatrist | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2020-04-23 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on PINECCA PATEL DPM LLC.
| 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.