DR. ROSE-MARY MBIBONG-MABO (NPI# 1851703078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851703078 |
| Entity Type | Individual |
| Full Name | DR. ROSE-MARY MBIBONG-MABO |
| Credential | DPM |
| Practice Address |
427 Moreland Ave Ne Ste 600 Atlanta GA 30307-1500 |
| Mailing Address |
Po Box 451371 Atlanta GA 31145-9371 |
| Practice Telephone | 7702841616 |
| Mailing Telephone | 6783610332 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP0504X |
Podiatrist Specialization: Public Medicine |
POD001234 | GA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
POD001234 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001234 | GA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
427 MORELAND AVE NE STE 600 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528047792 | Victor G Polizos | Pediatrics | 427 Moreland Ave Ne, Suite 400, Atlanta, GA 30307-1500 | 2006-01-16 |
| 1225495641 | After The Bell | Counselor | 427 Moreland Ave Ne, Atlanta, GA 30307-1500 | 2016-01-16 |
| 1750778932 | Metro Podiatrists | Podiatrist | 427 Moreland Ave Ne, Ste 600, Atlanta, GA 30307-1500 | 2015-04-24 |
| 1851722029 | Erlese Caruth | Counselor | 427 Moreland Ave Ne, Suite 100b, Atlanta, GA 30307-1500 | 2013-12-12 |
| 1780956631 | Robin Tanner | Dietitian, Registered | 427 Moreland Ave Ne, Atlanta, GA 30307-1500 | 2012-02-07 |
| 1285830562 | Tricia Ann Appleton | Psychiatry & Neurology | 427 Moreland Ave Ne, Suite 500, Atlanta, GA 30307-1500 | 2007-06-25 |
| 1528286622 | Kerry Kramer | Chiropractor | 427 Moreland Ave Ne, Suite 300, Atlanta, GA 30307-1500 | 2007-04-23 |
| 1689791584 | Richard Bruce Shapiro | Dentist | 427 Moreland Ave Ne, Suite 200, Atlanta, GA 30307-1500 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506162 | Diabetic Foot Care Specialist of Georgia | Podiatrist | 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 | 2007-09-11 |
| 1447308713 | Northside Podiatry, PC | Podiatrist | 5505 Peachtree Dunwoody Rd Ne Ste 420, Atlanta, GA 30342-1713 | 2007-01-05 |
| 1871929893 | Podiatry Care of Georgia | Podiatrist | 415 Armour Dr Ne, 3103, Atlanta, GA 30324-3933 | 2013-09-23 |
| 1881039972 | Atkins Foot & Ankle Center, Inc. | Podiatrist | 2001 Martin Luther King Jr Dr Sw, Suite 300, Atlanta, GA 30310-1101 | 2013-05-03 |
| 1255414520 | Arnita F Avery Dpm PC | Podiatrist | 5825 Glenridge Dr, Building 2, Suite 110, Atlanta, GA 30328-5387 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741632 | Serenity Podiatry and Med Spa LLC | Podiatrist | 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 | 2020-02-11 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1598010720 | Swga Foot & Ankle Center | Podiatrist | 415 E 4th Ave Ste B, Cordele, GA 31015-0614 | 2012-07-13 |
| 1548524937 | Swga Foot & Ankle Center | Podiatrist | 922 E Jefferson St Ste D, Americus, GA 31709-4781 | 2012-06-29 |
| 1952667305 | Agape Foot & Ankle Clinic, LLC | Podiatrist | 3693 Wittenburg Ct, Decatur, GA 30034-5507 | 2012-04-10 |
| 1275780199 | Azuka Ifeyinwa Nwaedozie | Podiatrist | 3364 Medina Dr, Jonesboro, GA 30236-6873 | 2008-08-21 |
| 1386804045 | Howard Foot&leg Specialists,pc. | Podiatrist | 12476 Hopewell Rd, Alpharetta, GA 30004-1347 | 2008-06-16 |
| 1356549141 | Dwayne Lay | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2007-07-03 |
| 1710002241 | Personal Foot & Ankle Specialist,pc | Podiatrist | 1820 N Columbia St, Milledgeville, GA 31061-2300 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
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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.