RYAN T WHITNEY (NPI# 1811004088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811004088 |
| Entity Type | Individual |
| Full Name | RYAN T WHITNEY |
| Credential | M.D. |
| Practice Address |
1404 River Pl Ste 501 Braselton GA 30517-5600 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7705342020 |
| Practice Fax Number | 7705348025 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
081697 | GA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
81697 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7707950 | 05 | |
| KS | 200283580B | 05 | |
| MO | 209012418 | 05 | |
| IA | 0569244 | 05 | |
| NE | 47084496100 | 05 | |
| KS | 200283580A | 05 | |
| MO | 209012400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174704761 | Ryan Whitney | Occupational Therapist | 484 Main St Ste 600, Worcester, MA 01608 | 2007-11-25 |
| 1356640650 | Ryan David Whitney | General Practice | 40 Heyward St, Brooklyn, NY 11249-7823 | 2011-03-25 |
| 1841520277 | Ryan Whitney | Chiropractor | 2450 W Charleston Blvd, Las Vegas, NV 89102-2179 | 2010-01-07 |
| Street Address |
1404 RIVER PL STE 501 |
| City | BRASELTON |
| State | GA |
| Zip Code | 30517-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097296 | Stephen Peyton Prater | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2005-07-19 |
| 1073902094 | Veronica Eberhart | Nurse Practitioner | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2015-01-14 |
| 1710396734 | Ifeoma Ezeh Omoregie | Physician Assistant | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2014-08-04 |
| 1639584675 | Peggy Gail Whiten | Nurse Practitioner | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2014-06-28 |
| 1265726384 | Pavani Kolakalapudi | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-06-06 |
| 1336439991 | Laura Divoky | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-04-15 |
| 1760772990 | Jeh-wei Cheng | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-04-08 |
| 1215251897 | Zaid Houfdhi Said | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517 | 2010-03-25 |
| 1154564367 | Nima Ghasemzadeh | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2009-04-17 |
| 1801089842 | Ankit Arvindbhai Patel | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904076 | Northeast Georgia Dental Group | Dentist | 1205 Friendship Road, Braselton, GA 30517 | 2018-06-05 |
| 1548772544 | Shaniqua Lynee Sims | Nurse Practitioner | 1515 River Pl Ste 280, Braselton, GA 30517 | 2017-10-30 |
| 1538671847 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 1255 Frienship Road, Suite 150, Braselton, GA 30517 | 2017-10-26 |
| 1295137735 | Connie Johnson | Occupational Therapy Assistant | 5373 Thompsons Mill Rd., Braselton, GA 30517 | 2014-09-16 |
| 1780970921 | Christopher Thomas Middendorf | Hospitalist | 1400 River Place, Braselton, GA 30517 | 2011-06-27 |
| 1407140999 | Ashley Williams Zimmerman | Registered Nurse | 1515 River Pl Ste 340, Braselton, GA 30517 | 2011-06-02 |
| 1891097382 | Thu Mong Tran Nguyen | Dentist | 1702 Ammon Falls Ct, Braselton, GA 30517 | 2010-12-03 |
| 1053436030 | Andrew L Tam | Dentist | 5122 Hwy 53, Braselton, GA 30517 | 2007-03-20 |
| 1871503987 | Kathy Baxendale Morse | Nurse Practitioner | 2695 Old Winder Hwy, Suite 200, Pediatric Associates, Braselton, GA 30517 | 2006-08-09 |
| 1073585782 | Champak Patel | Legal Medicine | 5196 Hwy 53, Braselton, GA 30517 | 2006-02-06 |
| Find all providers in zip 30517 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265726384 | Pavani Kolakalapudi | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-06-06 |
| 1336439991 | Laura Divoky | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517-5600 | 2011-04-15 |
| 1215251897 | Zaid Houfdhi Said | Internal Medicine | 1404 River Pl Ste 501, Braselton, GA 30517 | 2010-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1215399456 | Raymond Mai | Internal Medicine | 1120 15th St # 6518, Augusta, GA 30912-1436 | 2016-03-27 |
| 1043684954 | Columbus Cardiology Associates, PC | Internal Medicine | 905 N Jackson St, Ste B, Americus, GA 31719-3089 | 2015-11-17 |
| 1649693045 | Avantgarde Consultants, Inc. | Internal Medicine | 10945 State Bridge Rd Ste 401-708, Alpharetta, GA 30022-8164 | 2014-01-22 |
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1982940987 | Southeastern Cardiovascular Associates LLC | Internal Medicine | 1076 Bermuda Run, Statesboro, GA 30458-0858 | 2012-12-19 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1962779611 | Cardiac Consultants of Central Georgia | Internal Medicine | 2024 Watson Blvd Bldg 1, Warner Robins, GA 31093-3624 | 2011-11-23 |
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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.