ROBERTO A. LARRIVEY


Address: 790 Church St Ne, Ste 140, Marietta, GA 30060-8902
Phone: 7704257199

ROBERTO A. LARRIVEY (NPI# 1720083702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720083702
Entity Type Individual
Full Name ROBERTO A. LARRIVEY
Credential MD
Practice Address 790 Church St Ne
Ste 140
Marietta
GA 30060-8902
Mailing Address 5555 Peachtree Dunwoody Rd Ne
Ste 125
Atlanta
GA 30342-1703
Practice Telephone 7704257199
Practice Fax Number 6788195538
Mailing Telephone 4042552918
Mailing Fax Number 4042555837
Enumeration Date 2005-06-16
Last Update Date 2009-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 052983 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 956323850B 05
GA 956323850A 05

Office Location

Street Address 790 CHURCH ST NE
STE 140
City MARIETTA
State GA
Zip Code 30060-8902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003356361 Proactive Physicians of Marietta, PC Clinic/Center 790 Church St Ne, Suite 220, Marietta, GA 30060-7282 2017-03-06
1720535529 Tracy Zoblisein Pharmacist 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 2016-09-09
1609323641 Lisa Long Pharmacist 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 2016-09-07
1306293113 Kristina L Thomas Nurse Practitioner 790 Church St Ne, Suite 150, Marietta, GA 30060-7282 2016-05-21
1447681218 James Wesley Garrett Physician Assistant 790 Church St Ne, Ste 400, Marietta, GA 30060-7282 2013-12-04
1396083606 Deborah Luann Hurd Nurse Practitioner 790 Church St Ne, Suite 330, Marietta, GA 30060-7282 2013-01-21
1336485457 Paradigm Medical LLC Specialist 790 Church St Ne, Suite 410, Marietta, GA 30060-7282 2012-12-18
1679824742 Nsh Cancer Institute Professional Services G LLC Durable Medical Equipment & Medical Supplies 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 2012-09-28
1568724052 Brandon M Paritz Family Medicine 790 Church St Ne, Suite 250, Marietta, GA 30060-7282 2012-06-12
1073870093 Physicians Spine & Rehabilitation Specialists of Georgiapc Pain Medicine 790 Church St Ne, Suite 550, Marietta, GA 30060-7282 2012-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417103557 David Michael Weeks Otolaryngology 699 Church St, Ste 340, Marietta, GA 30060 2008-08-08
1619933249 Seth A Yellin Otolaryngology 111 Marble Mill Rd Nw, Marietta, GA 30060-1047 2006-04-22
1538145263 Richard Alan Gunovich Otolaryngology 800 Wayne St Ste 112, Marietta, OH 45750-3309 2005-12-15
1518958552 David Parks Otolaryngology 699 Church St Ne Ste 340, Marietta, GA 30060 2005-10-31
1912996422 Lawrence Steven Weiss Otolaryngology 3901 Roswell Rd, Ste 225, Marietta, GA 30062-8816 2005-10-18
1093717688 Andrew Everett Sutton Otolaryngology 780 Canton Rd Ne, Suite 330, Marietta, GA 30060-7241 2005-08-12
1790786911 Drew Matthew Locandro Otolaryngology 80 Lacy St Nw, Northwest Ent and Allergy Center, Marietta, GA 30060 2005-08-10
1629075833 Donald W Alexander Otolaryngology 833 Campbell Hill Street, Suite 420, Marietta, GA 30060-1138 2005-07-01
1780688051 Patrick Melder Otolaryngology 699 Church St Ne, Ste 340, Marietta, GA 30060 2005-06-02
1053707042 Nicholas Mildenhall Otolaryngology 699 Church St Ne Ste 340, Marietta, GA 30060-1131 2015-04-07
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City MARIETTA
Zip Code 30060

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Dataset Information

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.

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