PULMONARY MEDICINE ASSOCIATES (NPI# 1720009244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720009244 |
| Entity Type | Organization |
| Organization Name | PULMONARY MEDICINE ASSOCIATES |
| Practice Address |
6572 River Park Dr Ste 101 Riverdale GA 30274-2214 |
| Practice Telephone | 7709966699 |
| Practice Fax Number | 7706922669 |
| Mailing Telephone | 7709966699 |
| Mailing Fax Number | 7706922669 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-01-07 |
| Authorized Official Name | PRAVEEN RASTOGI (SENIOR PARTNER) |
| Authorized Official Telephone | 7709966699 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00713138B | 05 | |
| GA | 00178813B | 05 | |
| GA | 00286668A | 05 | |
| GA | 919846878A | 05 | |
| GA | 710561989A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174790869 | Pulmonary Medicine Associates | Internal Medicine | 1022 1st St N Ste 501, Alabaster, AL 35007-8718 | 2008-05-12 |
| 1740352517 | Pulmonary Medicine Associates | Internal Medicine | 1111 S Jefferson St Ste A, Roanoke, VA 24016-4724 | 2006-11-15 |
| 1821129560 | Pulmonary Medicine Associates | Internal Medicine | 850 Olive St, Suite A, Shreveport, LA 71104-2162 | 2007-03-07 |
| 1730255787 | Pulmonary Medicine Associates | Internal Medicine | 10101 W Colonial Dr Ste 102, Ocoee, FL 34761-4213 | 2006-11-28 |
| 1033194410 | Pulmonary Medicine Associates | Internal Medicine | 236 W 6th St, Suite 100, Reno, NV 89503-4517 | 2005-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PULMONARY MEDICINE ASSOCIATES LLC | 1111-a South Jefferson St, Roanoke, Virginia 24016 |
| Street Address |
6572 RIVER PARK DR STE 101 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921552 | Carlette Graham | Specialist | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 | 2006-02-15 |
| 1093180473 | Julia A Belcher | Licensed Practical Nurse | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 | 2015-12-10 |
| 1710017413 | Med South Associates PC 2 LLC | Internal Medicine | 6572 River Park Dr, Suite 102, Riverdale, GA 30274-2214 | 2007-03-06 |
| 1518024694 | Kaia Lowe | Physician Assistant | 6572 River Park Dr, #101, Riverdale, GA 30274-2214 | 2007-01-02 |
| 1457425480 | Andre' Reshaun Holmes | Specialist | 6572 River Park Dr, Riverdale, GA 30274-2214 | 2006-11-20 |
| 1770592776 | Sleepmed Inc. | Clinic/Center | 6572 River Park Dr, Suite 201, Riverdale, GA 30274-2214 | 2006-08-07 |
| 1265406375 | Praveen Rastogi | Internal Medicine | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659780393 | New Beginnings Hair Studio Phasei,llc | Specialist | 1254 Highway 138 Sw, Riverdale, GA 30296-1402 | 2014-08-07 |
| 1447595848 | Joanna Paganotti | Specialist | 39 Newark Pompton Tpke, Riverdale, NJ 07457-1144 | 2012-12-11 |
| 1982877890 | Gwinnett Multi Specialty Group LLC | Specialist | 34 Upper Riverdale Rd., Suite 100a, Riverdale, GA 30274 | 2008-04-11 |
| 1588868798 | Just for Women | Specialist | 823 Highway 138 Sw, Riverdale, GA 30296-3362 | 2007-06-12 |
| 1336352699 | Daniel Robins | Specialist | 6572 River Park Dr. Ste 101, Riverdale, GA 30274-2550 | 2007-05-07 |
| 1619047073 | Associates for Women's Care, LLP | Specialist | The Whitehall, Suite 1c, 3333 Henry Hudson Parkway, Riverdale, NY 10463 | 2006-11-09 |
| 1740393115 | Kathryn Rose Clayton | Specialist | 107 Highland Dr, Riverdale, GA 30296-1115 | 2006-08-17 |
| 1639109424 | Joseph N. Saba | Specialist | 6285 Garden Walk Blvd, Suite C, Riverdale, GA 30274-2612 | 2006-07-04 |
| 1306881362 | Hina Hussain | Specialist | 223 Medical Center Dr, Riverdale, GA 30274-2640 | 2006-06-16 |
| 1417921552 | Carlette Graham | Specialist | 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 | 2006-02-15 |
| Find all providers in RIVERDALE | ||||
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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.