DR. STEPHANIE A MICHAEL (NPI# 1790775559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790775559 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE A MICHAEL |
| Credential | DPM |
| Practice Address |
3515 Dallas Hwy Sw Marietta GA 30064-2094 |
| Mailing Address |
900 Circle 75 Pkwy. Ste. 900 Atlanta GA 30339-3084 |
| Practice Telephone | 7704990080 |
| Practice Fax Number | 7704990570 |
| Mailing Telephone | 7703840284 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001023 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001023 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 916702115E | 05 | |
| LA | 1756351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030456 | Stephanie Michelle Michael | Dietitian, Registered | 615 7th Ave # 17, Longview, WA 98632-1606 | 2019-08-27 |
| 1407308356 | Stephanie Michael | Social Worker | 100 W Sproul Rd, Healthplex Pavilion II, Suite 221, Springfield, PA 19064-2033 | 2016-10-26 |
| 1245583707 | Stephanie Alyssa Michael | Occupational Therapy Assistant | 10176 Corporate Square Dr, Suite 150, Saint Louis, MO 63132-2924 | 2012-10-22 |
| 1750683041 | Stephanie Michael | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2010-11-19 |
| Street Address |
3515 DALLAS HWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063720274 | Village Podiatry Group, LLC | Podiatrist | 3515 Dallas Hwy Sw, Marietta, GA 30064-2094 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1255525200 | Steven R Downer | Podiatrist | 409 2nd St, Marietta, OH 45750-2157 | 2007-09-04 |
| 1700854825 | Bryan S Russell | Podiatrist | 55 Whitcher St, Ste. 450, Marietta, GA 30060 | 2006-03-14 |
| 1316921240 | Anthony J Gatti | Podiatrist | 792 Church St, Ste 101, Marietta, GA 30060 | 2005-12-05 |
| 1225012156 | Suzanne M Clous | Podiatrist | 3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1266 | 2005-12-05 |
| 1174514970 | Stephen L Barrett | Podiatrist | 2520 Windy Hill Rd Se Ste 205, Marietta, GA 30067-8650 | 2005-10-31 |
| 1710988779 | Allen Lazerson | Podiatrist | 792 Church St Ne, Marietta, GA 30060-8954 | 2005-08-02 |
| 1326446873 | Kinna Ashok Patel | Podiatrist | 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | 2014-12-16 |
| 1427453398 | American Professional Associates, LLC | Podiatrist | 165 Vann St Ne, Marietta, GA 30060-7249 | 2014-11-04 |
| 1750724902 | Wellstar Medical Group, LLC | Podiatrist | 55 Whitcher St Ne, Suite 450, Marietta, GA 30060-1155 | 2013-04-08 |
| 1952604092 | Village Podiatry Group, P.C. | Podiatrist | 611 Campbell Hill St Nw, Suite 103, Marietta, GA 30060-1386 | 2010-12-13 |
| Find all providers in MARIETTA | ||||
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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.