SABA KIDANE (NPI# 1699965517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699965517 |
| Entity Type | Individual |
| Full Name | SABA KIDANE |
| Credential | P.A. |
| Practice Address |
777 Cleveland Ave Sw Suite 204 Atlanta GA 30315-7129 |
| Practice Telephone | 4048925950 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002731 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 CLEVELAND AVE SW SUITE 204 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410173 | Anthony Edward Barnes | Urology | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7129 | 2005-07-12 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1700307139 | Gloria Mixon | Occupational Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2017-07-06 |
| 1407211139 | Trisha Brown | Counselor | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-12-22 |
| 1972976348 | Safira Zayas | Massage Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2015-11-07 |
| 1609246800 | Jeannette Hokanson | Counselor | 777 Cleveland Ave Sw, Suite 301, Atlanta, GA 30315-7129 | 2015-09-30 |
| 1801270335 | Serene Reflections for Holistic Behavior Wellness, LLC | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-07-15 |
| 1144665415 | Eric Alexander Lohman | Social Worker | 777 Cleveland Ave Sw, Suite 316, Atlanta, GA 30315-7129 | 2013-05-01 |
| 1851657167 | Pathways Career Services | Day Training, Developmentally Disabled Services | 777 Cleveland Ave Sw, 316, Atlanta, GA 30315-7129 | 2012-04-11 |
| 1710284435 | Gates Rapid Diagnostic Laboratory of Atlanta | General Practice | 777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129 | 2011-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1417422916 | Alison Miller | Physician Assistant | 993d Johnson Fy Rd Ne, Atlanta, GA 30342-1602 | 2018-10-10 |
| 1588139414 | Tammy May Luu | Physician Assistant | 1150 Hammond Dr Ste 310, Atlanta, GA 30328-7500 | 2018-10-08 |
| 1104323476 | Cody Weldon Howell | Physician Assistant | 303 Parkway Dr Ne # 404, Atlanta, GA 30312-1212 | 2018-04-12 |
| 1659895373 | Sudhisha Kumari Jala | Physician Assistant | 980 Johnson Ferry Rd Ste 820, Atlanta, GA 30342-1608 | 2017-08-03 |
| 1487178893 | Magdalena Kertscher | Physician Assistant | 105 Collier Rd Nw Ste 2010, Atlanta, GA 30309-1734 | 2017-07-27 |
| 1841738044 | Adrienne Anderson | Physician Assistant | 1800 Howell Mill Rd Nw Ste 450, Atlanta, GA 30318-2508 | 2017-02-08 |
| 1730623802 | Catherine Lynn Johnson | Physician Assistant | 1365 Clifton Rd Ne # C, Atlanta, GA 30322-1013 | 2016-12-08 |
| 1649626938 | Alex Phillip Schultz | Physician Assistant | 476 Wilmer St Ne, Unit 1230, Atlanta, GA 30308-2933 | 2016-05-05 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on SABA KIDANE.
| 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.