DR. KISSING OB & GYN (NPI# 1720416480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720416480 |
| Entity Type | Organization |
| Organization Name | DR. KISSING OB & GYN |
| Practice Address |
1860 Duluth Hwy 103 Lawrenceville GA 30043-5011 |
| Practice Telephone | 7708883102 |
| Practice Fax Number | 7702122188 |
| Mailing Telephone | 7708883102 |
| Mailing Fax Number | 7702122188 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | DR. DOMINIK KISSING (OWNER) |
| Authorized Official Telephone | 7708883102 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 64125 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003112332D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003244765 | Dr. Kissing Ob & Gyn | Specialist | 5720 Buford Hwy, 102, Norcross, GA 30071-2577 | 2013-10-16 |
| Street Address |
1860 DULUTH HWY 103 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790885051 | Victor Greco | Chiropractor | 1860 Duluth Hwy, Ste. 103, Lawrenceville, GA 30043-5011 | 2006-09-25 |
| 1871630749 | Ross Carter | Chiropractor | 1860 Duluth Hwy, Ste 103, Lawrenceville, GA 30043-5011 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1396188876 | East Metro Primary Care | Specialist | 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 | 2013-04-15 |
| 1861710998 | Georgia Quality Kidney Care, LLC | Specialist | 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 | 2010-05-13 |
| 1508005141 | Bobby Walker | Specialist | 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068 | 2009-02-05 |
| 1023265873 | Accurate Medical Diagnostics, LLC | Specialist | 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 | 2008-08-23 |
| 1265604896 | Gwinnett Sportherapy | Specialist | 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 | 2008-03-24 |
| 1437270923 | Crelvis, Inc. | Specialist | 271-a S Culver St, Lawrenceville, GA 30045-4805 | 2007-04-02 |
| 1982747465 | Dana Lynn Prater | Specialist | 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 | 2007-02-15 |
| 1083770655 | John Martin Tilley | Specialist | 801 Bolling Cv, Lawrenceville, GA 30045-2430 | 2006-12-28 |
| 1265509376 | Jennie Nichole Stokes | Specialist | 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 | 2006-11-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on DR. KISSING OB & GYN.
| 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.