DR. JENNY ANNE WALLDORF (NPI# 1720348485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720348485 |
| Entity Type | Individual |
| Full Name | DR. JENNY ANNE WALLDORF |
| Credential | M.D. |
| Practice Address |
550 Peachtree St Ne Atlanta GA 30308 |
| Mailing Address |
550 Peachtree St Ne Atlanta GA 30308-2245 |
| Practice Telephone | 4046865885 |
| Mailing Telephone | 4046865885 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
77134 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 685 W Baltimore St Rm 480, Center for Vaccine Development, Baltimore, MD 212011509 | 4107068695 |
| Street Address |
550 PEACHTREE ST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1780959635 | Nicole J Cohen | Pediatrics | 1600 Clifton Rd Ne # Msc-01, Atlanta, GA 30329-4018 | 2012-03-11 |
| 1215144472 | William Matthew Linam | Pediatrics | 2015 Uppergate Drive Room 534, Atlanta, GA 30322-3500 | 2007-05-17 |
| 1679789333 | Pediatric Infectious Disease Associates | Pediatrics | 993 F Johnson Ferry Road, Suite 370, Atlanta, GA 30342 | 2007-05-16 |
| 1801978291 | Leanne M Fox | Pediatrics | Division of Parasitic Disease, Cdc, 4770 Buford Highway, Ne, Ms F-22, Atlanta, GA 30341 | 2006-10-19 |
| 1881621050 | Elizabeth R Miller | Pediatrics | 993-f Johnson Ferry Rd, Suite 370, Atlanta, GA 30342 | 2006-06-26 |
| 1851343701 | Frank Oliver Richards Jr. | Pediatrics | 2015 Uppergate Drive Ne, Atlanta, GA 30322-0001 | 2006-05-17 |
| 1932499589 | Amelia Anne Keaton | Pediatrics | 1405 Clifton Rd Ne, Atlanta, GA 30322-1151 | 2011-04-17 |
| 1487955100 | Lakshmi Panagiotakopoulos | Pediatrics | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2010-11-11 |
| 1952628679 | Christina Allen Rostad | Pediatrics | 2015 Uppergate Dr Ne, 5th Floor, Atlanta, GA 30322-0001 | 2010-04-21 |
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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.