DR. ELIZABETH G WHITAKER (NPI# 1811999402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811999402 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH G WHITAKER |
| Credential | M.D. |
| Practice Address |
3200 Cobb Galleria Pkwy Ste 205 Atlanta GA 30339-5919 |
| Practice Telephone | 7708500202 |
| Practice Fax Number | 7708500022 |
| Mailing Telephone | 7708500202 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 041239 | GA | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
041239 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00868524B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932760576 | Elizabeth Whitaker | Nurse Anesthetist, Certified Registered | 12040 Nw 15th Ct, Pembroke Pines, FL 33026-2598 | 2019-06-25 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| 1457599433 | Elizabeth G Whitaker | Registered Nurse | 3411 Look Rd, Ellensburg, WA 98926-7303 | 2009-01-28 |
| 1265491021 | Elizabeth Rose Whitaker | Pediatrics | 5072 Reed Rd, Columbus, OH 43220-7536 | 2006-03-21 |
| 1073114567 | Elizabeth Paige Whitaker | Pharmacist | 1015 New Moody Ln, La Grange, KY 40031-9142 | 2020-11-03 |
| 1346886991 | Elizabeth Whitaker | Speech-Language Pathologist | 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654-8090 | 2019-11-19 |
| 1508367384 | Elizabeth Anne Whitaker | Occupational Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1508222852 | Elizabeth Lynn Whitaker | Nurse Practitioner | 840 Pine St Ste 990, Macon, GA 31201-7500 | 2016-01-01 |
| 1134209422 | Elizabeth Ann Whitaker | Nurse Practitioner | 4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 | 2006-10-17 |
| Street Address |
3200 COBB GALLERIA PKWY STE 205 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486955 | Louis Michael Dejoseph | Plastic Surgery | 6085 Barfield Road Northeast Suite 100, Atlanta, GA 30328 | 2006-10-04 |
| 1376689901 | Clinton D. Mccord Jr. | Plastic Surgery | 3200 Downwood Cir Nw, Suite 640, Atlanta, GA 30327-1610 | 2007-01-30 |
| 1104883859 | William E Silver | Plastic Surgery | 980 Johnson Fy Rd Ne, Ste 110, Atlanta, GA 30342-1626 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293584 | Joel M Stewart Jr. | Plastic Surgery | 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214-7662 | 2006-06-14 |
| 1518212166 | Maria Helena Nascimento De Lima | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2012-07-19 |
| 1871829192 | Oculofacial Plastic Surgeons of Georgia, LLC | Plastic Surgery | 1429 Oglethorpe St, Macon, GA 31201-1512 | 2009-10-21 |
| 1467494559 | Patricia Yugueros | Plastic Surgery | 6335 Hospital Pkwy, Suite 216, Johns Creek, GA 30097-1549 | 2006-06-12 |
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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.