DR. BRIAN STEPHEN VANDERHOOF (NPI# 1740321579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740321579 |
| Entity Type | Individual |
| Full Name | DR. BRIAN STEPHEN VANDERHOOF |
| Credential | D.O. |
| Practice Address |
2400 Wisteria Dr Suite A Snellville GA 30078-2689 |
| Practice Telephone | 7709859330 |
| Practice Fax Number | 7709789455 |
| Mailing Telephone | 7709859330 |
| Mailing Fax Number | 7709789455 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 038391 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00665695A | 05 |
| Street Address |
2400 WISTERIA DR SUITE A |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688392 | Gwinnett Bone & Joint Specialist | Orthopaedic Surgery | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2006-09-14 |
| 1285084897 | Joseph Drew Johnson | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2016-06-14 |
| 1497100317 | Grace-garanthe Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2400 Wisteria Dr, Suite F, Snellville, GA 30078-2689 | 2016-04-28 |
| 1922474725 | Ashley Nicole Mcfarland | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2015-08-15 |
| 1205238631 | Amanda Hotop | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2014-09-17 |
| 1295143659 | Shelby Gaccetta | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2014-07-30 |
| 1619309564 | Camelyn T Gustafson | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2013-08-02 |
| 1780026203 | Evan Rosenberry | Specialist/Technologist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2013-07-25 |
| 1962756478 | Sarah Gossett | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-11-06 |
| 1184979288 | Amy E Curtis | Physical Therapist | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660663 | Stephanie Lynn Prenzlin | Neuromusculoskeletal Medicine, Sports Medicine | 1095 Berkley Dr Se, Smyrna, GA 30082-3105 | 2020-05-08 |
| 1811523574 | Denise M Leslie-willams | Neuromusculoskeletal Medicine, Sports Medicine | 220 Sandy Springs Cir Ste 157b, Atlanta, GA 30328-3861 | 2020-03-13 |
| 1700350121 | Hope Price | Neuromusculoskeletal Medicine, Sports Medicine | 154 Wedgefield Way, Statesboro, GA 30458-2464 | 2019-01-18 |
| 1265597843 | Michelle Murray Kaplita | Neuromusculoskeletal Medicine, Sports Medicine | 3668 Castlegate Dr Nw, Atlanta, GA 30327-2604 | 2006-12-26 |
| 1699834697 | Medipractic LLC | Neuromusculoskeletal Medicine, Sports Medicine | 3955 Harrison Rd, Ste. 400, Loganville, GA 30052-8501 | 2006-12-06 |
| 1013096015 | Margaret Lucinda Brantley | Neuromusculoskeletal Medicine, Sports Medicine | 100 West College Park Drive, Douglas, GA 31533 | 2006-11-02 |
| 1891788741 | Chadalavada N Kishore | Neuromusculoskeletal Medicine, Sports Medicine | 425 Third Ave, Ste 340, Albany, GA 31701 | 2005-08-25 |
| 1033522420 | Cmg1, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 6487 Pierce Chapel Rd Unit 5, Midland, GA 31820-3554 | 2014-06-04 |
| 1720358401 | Pain & Wellness Center of North Fulton | Neuromusculoskeletal Medicine, Sports Medicine | 4180 Old Milton Pkwy, 1c, Alpharetta, GA 30005-2408 | 2012-01-11 |
| 1760501555 | Phyllis Mansour | Neuromusculoskeletal Medicine, Sports Medicine | 2770 Lenox Rd, Atlanta, GA 30324 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on DR. BRIAN STEPHEN VANDERHOOF.
| 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.