PETER WYMAN (NPI# 1710063680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710063680 |
| Entity Type | Individual |
| Full Name | PETER WYMAN |
| Credential | MD |
| Practice Address |
1605 Roberta Dr Sw Marietta GA 30008-3855 |
| Practice Telephone | 7704193120 |
| Mailing Telephone | 7704193120 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 046719 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659309136 | Peter A Wyman | Psychologist | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2006-06-30 |
| Street Address |
1605 ROBERTA DR SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30008-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255984324 | Ji Won Park | Dentist | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2019-07-18 |
| 1275015281 | Venetta Diale Belowe Mwengella | Nurse Practitioner | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2018-09-06 |
| 1922503572 | Patricia Guzman | Dental Hygienist | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2018-03-27 |
| 1912458456 | Joel Philip Carpenter | Family Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2016-10-19 |
| 1578819918 | Laura L. Bayani | Physician Assistant | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2012-08-02 |
| 1659650331 | Alan B Kirk | Social Worker | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2011-08-11 |
| 1326349614 | Marjan Zarif Kirkland | Nurse Practitioner | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2010-11-03 |
| 1881923126 | Good Samaritan Health Center of Cobb | Voluntary or Charitable | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2009-12-16 |
| 1669609442 | Dolly Penn White | Preventive Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2009-06-18 |
| 1740454875 | Adrienne Nicole Polite | Family Medicine | 1605 Roberta Dr Sw, Marietta, GA 30008-3855 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1982935607 | Family Home Care, LLC | Respite Care | 1791 Silver Leaf Ct, Marietta, GA 30008 | 2010-01-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1265657399 | Scott D Warner | Chiropractor | 3201 Austell Rd Sw, Marietta, GA 30008 | 2007-04-16 |
| 1972572642 | Cobb County Board of Health | Public Health or Welfare | 1650 County Services Parkway, Marietta, GA 30008 | 2006-03-15 |
| 1538662622 | Lorna Brown | Nurse Practitioner | 1825 County Services Pkwy Sw, Marietta, GA 30008 | 2018-03-14 |
| 1760825905 | Avantika Varma | Family Medicine | 1650 County Services Pkwy Sw Ste 200, Marietta, GA 30008 | 2013-04-08 |
| 1689887663 | Brenda W Wilson | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043423023 | Karen J Carter | Psychiatry & Neurology | 1650 County Services Pkwy, Marietta, GA 30008 | 2007-05-07 |
| 1043587330 | Francine Edwards | Speech-Language Pathologist | 3665 Austell Road Sw, Suite 1017, Marietta, GA 30008-0000 | 2011-11-30 |
| Find all providers in zip 30008 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1881202752 | Zandoc Group Corp | Internal Medicine | 2759 Delk Rd Se Ste 1603, Marietta, GA 30067-8887 | 2020-07-16 |
| 1548892458 | Atlanta Osteoarthritis Center LLC | Internal Medicine | 2550 Windy Hill Rd Se Ste 308, Marietta, GA 30067-8655 | 2020-02-08 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1295392140 | Camden-clark Physician Corporation | Internal Medicine | 26 Acme St, Marietta, OH 45750-3306 | 2019-05-28 |
| 1821572447 | Cies Global - Georgia LLC | Internal Medicine | 780 Canton Rd Ne Ste 205, Marietta, GA 30060-7242 | 2018-09-19 |
| 1164943510 | David Hout Mason Jr. | Internal Medicine | 3615 Paper Mill Rd Se, Marietta, GA 30067-4938 | 2017-07-06 |
| 1942678628 | Claudia Michelle Brauer Ornelas | Internal Medicine | 401 Matthew St Dept Of, Marietta, OH 45750-1635 | 2015-09-11 |
| 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.