ALLSTAR FOOT CARE CENTER LLC (NPI# 1730346941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730346941 |
| Entity Type | Organization |
| Organization Name | ALLSTAR FOOT CARE CENTER LLC |
| Practice Address |
285 Boulevard Ne Suite 140 Atlanta GA 30312-4205 |
| Mailing Address |
Po Box 1065 Conyers GA 30012-1065 |
| Practice Telephone | 4042651044 |
| Practice Fax Number | 4042651047 |
| Mailing Telephone | 4046933914 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | DR. BENEDICTO V BITUIN (OWNER) |
| Authorized Official Telephone | 4046933914 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000819 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00783956B | 05 |
| Street Address |
285 BOULEVARD NE SUITE 140 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780278 | Israel B Orija | Internal Medicine | 285 Boulevard Ne, Ste 525, Atlanta, GA 30312-4205 | 2005-06-20 |
| 1558982843 | Kimberly C M Holderfield | Registered Nurse | 285 Boulevard Ne, Suite 345, Atlanta, GA 30312 | 2020-04-28 |
| 1811346604 | Hygea of Georgia, LLC | Internal Medicine | 285 Boulevard Ne, Suite 435, Atlanta, GA 30312-4205 | 2016-06-13 |
| 1194171173 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 285 Boulevard Ne, Ste 310, Atlanta, GA 30312-4205 | 2016-05-10 |
| 1902285695 | Karen Hargrove | Counselor | 285 Boulevard Ne, Suite 210, Atlanta, GA 30312-4205 | 2015-05-27 |
| 1417346941 | Rachel Marynowski | Nutritionist | 285 Boulevard Ne, Suite 110, Atlanta, GA 30312-4205 | 2015-01-21 |
| 1386033132 | Natasha Williamson | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2015-01-16 |
| 1457753014 | Essential Foot and Ankle Care, Inc | Podiatrist | 285 Boulevard Ne, Suite 525, Atlanta, GA 30312-4205 | 2014-09-25 |
| 1366858680 | Charles Kitchens Jr. | Nurse Practitioner | 285 Boulevard Ne, Atlanta, GA 30312-4205 | 2014-07-08 |
| 1033525415 | Dipa Patel | Nurse Practitioner | 285 Boulevard Ne, Suite 415, Atlanta, GA 30312-4205 | 2014-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922459759 | Monica Dontamsetti | Podiatrist | 550 Peachtree St Ne Ste 1960, Atlanta, GA 30308-2247 | 2016-06-22 |
| 1467806315 | Serenity Podiatric Concierge, LLC | Podiatrist | 32 Fenwick Pl, Atlanta, GA 30328-1037 | 2016-04-18 |
| 1871976308 | Abigail Reynolds Skov | Podiatrist | 5505 Peachtree Dunwoody Rd Ste 420, Atlanta, GA 30342 | 2015-07-01 |
| 1295996155 | Greenbriar Foot & Ankle Center | Podiatrist | 2950 Stone Hogan Rd Conn Sw, Atlanta, GA 30331-2885 | 2008-06-23 |
| 1144408659 | Essential Podiatry, LLC | Podiatrist | 285 Boulevard, Suite 610, Atlanta, GA 30312 | 2008-02-06 |
| 1760667265 | Alayna M Blash | Podiatrist | 1318 Mcpherson Ave Se, Atlanta, GA 30316-1608 | 2008-01-02 |
| 1861539587 | Village Podiatry Group, LLC | Podiatrist | 2295 Parklake Drive, Ste. 150, Atlanta, GA 30345-2825 | 2007-01-31 |
| 1013016146 | Barbara S. Schlefman | Podiatrist | 2789 Joel Pl, Atlanta, GA 30360-1415 | 2006-09-22 |
| 1881790210 | Larry Roger Gilger | Podiatrist | 1424 Christmas Ln Ne, Atlanta, GA 30329-3510 | 2006-09-15 |
| 1669582672 | Village Podiatry Group, LLC. | Podiatrist | 2045 Peachtree Road, Suite 810, Atlanta, GA 30309-1161 | 2006-08-30 |
| Find all providers in ATLANTA | ||||
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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.