RESURGENS, PC (NPI# 1710285226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710285226 |
| Entity Type | Organization |
| Organization Name | RESURGENS, PC |
| Other Organization Name | RESURGENS ORTHOPAEDICS |
| Practice Address |
15 Reinhardt College Pkwy Suite 102 Canton GA 30114-5257 |
| Mailing Address |
Po Box 720580 Atlanta GA 30358-2580 |
| Practice Telephone | 6785054455 |
| Practice Fax Number | 6785054446 |
| Mailing Telephone | 4048479999 |
| Mailing Fax Number | 4045318466 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-06-20 |
| Authorized Official Name | SUE C. LUCAS (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Telephone | 4044593722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE NSC | 0619450034 | 01 |
| Other Name | Type Code |
|---|---|
| Resurgens Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669981049 | Resurgens, PC | Orthopaedic Surgery | 4550 Cobb Parkway North Nw Ste 309g, Acworth, GA 30101-4182 | 2017-09-28 |
| 1821511676 | Resurgens, PC | Orthopaedic Surgery | 4441 Atlanta Rd Se Ste 207, Smyrna, GA 30080-6537 | 2017-07-24 |
| 1881123578 | Resurgens, PC | Orthopaedic Surgery | 1336 Highway 54 W Ste B, Fayetteville, GA 30214-4573 | 2017-06-07 |
| 1063549202 | Resurgens, PC | Orthopaedic Surgery | 665 S 8th St, Griffin, GA 30224-4243 | 2007-02-27 |
| 1982193041 | Resurgens, PC | Orthopaedic Surgery | 2301 Newnan Crossing Blvd E, Suite 100, Newnan, GA 30265 | 2018-05-04 |
| 1053849448 | Resurgens, PC | Orthopaedic Surgery | 1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229 | 2017-05-30 |
| 1992110449 | Resurgens, PC | Orthopaedic Surgery | 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | 2014-06-24 |
| 1043456205 | Resurgens, PC | Orthopaedic Surgery | 3698 Largent Way Nw, Suite 103, Marietta, GA 30064-5923 | 2008-12-18 |
| 1295862928 | Resurgens, PC | Orthopaedic Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 900, Atlanta, GA 30342-5000 | 2007-02-28 |
| 1154458800 | Resurgens, PC | Orthopaedic Surgery | 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 | 2007-02-28 |
| Street Address |
15 REINHARDT COLLEGE PKWY SUITE 102 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329928 | Kirk B Laman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2005-07-14 |
| 1710159488 | Madiha Iqbal Khan | Internal Medicine | 15 Reinhardt College Pkwy, Suite 109, Canton, GA 30114 | 2008-04-02 |
| 1992833941 | Northwest Georgia Oncology Centers, PC | Durable Medical Equipment & Medical Supplies | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-2493 | 2007-03-01 |
| 1154336717 | Edward Dyckman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2006-07-30 |
| 1285669739 | Anitra Simone Graves | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-07-12 |
| 1659320224 | Cherokee Lung & Sleep Specialists, P.C. | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-05-09 |
| 1962467860 | Sheldon Scott | Physical Therapist | 15 Reinhardt College Pkwy, Suite 102, Canton, GA 30114-5257 | 2006-04-20 |
| 1689635161 | Khizer Khurshid Ahmad | Pediatrics | 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 | 2006-04-01 |
| 1538120092 | Fitzroy Henry Graham | Pediatrics | 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669816906 | Brett Marshall Hall | Orthopaedic Surgery | 15 Reinhardt College Pkwy Ste 108, Canton, GA 30114-5259 | 2013-04-17 |
| 1104088566 | Douglas B Widener | Orthopaedic Surgery | 1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229 | 2008-06-27 |
| 1053531624 | David D Smith | Orthopaedic Surgery | 6488 St Augustine Dr Nw, Canton, OH 44718 | 2007-04-26 |
| 1477674877 | Brian Elliot Seng | Orthopaedic Surgery | 470 Northside Cherokee Blvd Ste 160, Canton, GA 30115-8029 | 2007-04-03 |
| 1255478079 | Soni Orthopaedic Clinic Inc | Orthopaedic Surgery | 1900 Fulton Rd Nw, Canton, OH 44709-3526 | 2007-01-31 |
| 1629036389 | Robert Daniel Travis | Orthopaedic Surgery | 44633 Joy Rd, Suite 200, Canton, MI 48187-1730 | 2006-05-03 |
| 1457311755 | John B Savage | Orthopaedic Surgery | 6119 St Highway Rt 11, Canton, NY 13617 | 2006-03-23 |
| 1477537934 | Douglas W Clanton | Orthopaedic Surgery | 230 Marietta Hwy, Suite 100, Canton, GA 30114 | 2005-11-30 |
| 1093705063 | Daniel Alexander Charlick | Orthopaedic Surgery | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2005-10-21 |
| 1629060215 | Dennis Allen Glazer | Orthopaedic Surgery | 3030 Tuscarawas St W, Suite 300, Canton, OH 44708-4167 | 2005-08-18 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on RESURGENS, PC.
| 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.