DR. DALE GRANT KNUTSON (NPI# 1801185533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801185533 |
| Entity Type | Individual |
| Full Name | DR. DALE GRANT KNUTSON |
| Practice Address |
1600 N Brown Rd Lawrenceville GA 30043-8141 |
| Practice Telephone | 6787203562 |
| Mailing Telephone | 6787203562 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 17931 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1600 N BROWN RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-8141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013306752 | Eda Moonhi Kim | Family Medicine | 1600 N Brown Rd, Lawrenceville, GA 30043-8141 | 2015-01-19 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
| 1972985356 | John Wesley Johnson | Pediatrics | 595 Hurricane Shoald Rd Nw, Suite 300, Lawrenceville, GA 30046 | 2015-06-23 |
| 1669887196 | Prathyusha Mididoddi | Pediatrics | 3685 Lawrenceville Hwy Ste 100, Lawrenceville, GA 30044-4152 | 2014-06-23 |
| 1306266176 | Megan Marie Kazi | Pediatrics | 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, GA 30046-8762 | 2014-04-21 |
| 1144508862 | Kids Time Pediatrics of Gwinnett LLC | Pediatrics | 2695 Sugarloaf Pkwy, Suite 200, Lawrenceville, GA 30045-9456 | 2011-07-29 |
| 1912230590 | Irfan Kayaalp | Pediatrics | 65 Wiltshire Dr, Lawrenceville, NJ 08648-2584 | 2009-09-14 |
| 1558515395 | Jill Barbara Simone | Pediatrics | 44 Cold Soil Road, Lawrenceville, NJ 08648-5538 | 2008-11-06 |
| 1568664563 | Jill Overcash LLC | Pediatrics | 945 River Centre Place, Suite 200, Lawrenceville, GA 30043 | 2007-06-01 |
| 1568508539 | Lloyd M Hofer | Pediatrics | 2570 Riverside Dr., Lawrenceville, GA 30046-0897 | 2007-01-29 |
| 1013063445 | Howard Ross Ellis | Pediatrics | 665 Duluth Hwy Ste 920, Lawrenceville, GA 30046 | 2007-01-26 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
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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.