AMANDEEP KAUR DEOL (NPI# 1811933294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811933294 |
| Entity Type | Individual |
| Full Name | AMANDEEP KAUR DEOL |
| Credential | P.T. |
| Practice Address |
120 Stonebridge Pkwy Suite 100 Woodstock GA 30189-3767 |
| Mailing Address |
4277 Moccasin Trl Woodstock GA 30189-4852 |
| Practice Telephone | 7709266520 |
| Practice Fax Number | 7709261359 |
| Mailing Telephone | 7709266520 |
| Mailing Fax Number | 7709261359 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT008130 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS DOUGLASVILLE LOCATIO | 52704315004 | 01 |
| GA | BCBS MARIETTA LOCATION | 52704315002 | 01 |
| GA | BCBS AUSTELL LOCATION | 52704315003 | 01 |
| GA | BCBS WOODSTOCK LOCATION | 5274315001 | 01 |
| Street Address |
120 STONEBRIDGE PKWY SUITE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699764183 | Sherri Lynn Barton | Emergency Medicine | 120 Stonebridge Pkwy, Woodstock, GA 30189-3767 | 2005-10-18 |
| 1215327663 | Peachtree Orthopaedic Clinic, Pa | Durable Medical Equipment & Medical Supplies | 120 Stonebridge Pkwy, Suite 440, Woodstock, GA 30189-3767 | 2015-01-23 |
| 1447691365 | Deborah A King | Nurse Practitioner | 120 Stonebridge Pkwy, Suite 410, Woodstock, GA 30189-3767 | 2013-07-08 |
| 1811272693 | Wellstar Cardiovascular Medicine, LLC | Internal Medicine | 120 Stonebridge Pkwy, Suite 110, Woodstock, GA 30189-3767 | 2011-10-12 |
| 1396030078 | Wellstar Medical Group, LLC | Clinic/Center | 120 Stonebridge Pkwy, Suite 310, Woodstock, GA 30189-3767 | 2011-06-10 |
| 1194986307 | Anil Oommen Thomas | Orthopaedic Surgery | 120 Stonebridge Pkwy, Suite 440, Woodstock, GA 30189-3767 | 2008-06-19 |
| 1033392832 | Georgia Pain Management | Clinic/Center | 120 Stonebridge Pkwy, Suite 420, Woodstock, GA 30189-3767 | 2007-12-14 |
| 1528119252 | Samson Pain Center | Clinic/Center | 120 Stonebridge Pkwy, Suite 420, Woodstock, GA 30189-3767 | 2007-01-16 |
| 1720138696 | James David Ellner | Anesthesiology | 120 Stonebridge Pkwy, Suite 420, Woodstock, GA 30189-3767 | 2007-01-11 |
| 1962566042 | Kennestone Heart Physicians Group | Internal Medicine | 120 Stonebridge Pkwy, Suite 440, Woodstock, GA 30189-3767 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811367691 | Richard Cunningham | Physical Therapist | 8909 Mcconnell Rd, Woodstock, IL 60098-7459 | 2015-10-06 |
| 1225365232 | Women First Rehabilitation | Physical Therapist | 6478 Putnam Ford Dr, Suite 126, Woodstock, GA 30189-6984 | 2009-11-11 |
| 1508904988 | Joseph Majercik Jr. | Physical Therapist | 201 N Throop St, Woodstock, IL 60098-3224 | 2007-02-01 |
| 1487690871 | Cynthia Adkinson Alyea | Physical Therapist | 1505 Stone Bridge Pkwy, Suite 200, Woodstock, GA 30189-8252 | 2006-06-22 |
| 1588087803 | Grant Davis | Physical Therapist | 1195 Hisey Avenue, Woodstock, VA 22664 | 2014-01-22 |
| 1730514134 | Lauren Weaver | Physical Therapist | 1432 Towne Lake Pkwy, Suite 120, Woodstock, GA 30189-8263 | 2013-09-05 |
| 1972766640 | Samuel Ross Hall | Physical Therapist | 2230 Towne Lake Pkwy, Bldg 1200, Suites 100 & 110, Woodstock, GA 30189-5540 | 2008-07-03 |
| 1447398771 | William Moerschbaecher | Physical Therapist | 201 N Throop St, Woodstock, IL 60098-3224 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
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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.