CLINICA SANTA MARIA 2, LLC (NPI# 1871934323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871934323 |
| Entity Type | Organization |
| Organization Name | CLINICA SANTA MARIA 2, LLC |
| Other Organization Name | CLINICA SANTA MARIA 2, LLC |
| Practice Address |
6158 Highway 92 Ste 101 Acworth GA 30102-2332 |
| Practice Telephone | 7709288450 |
| Practice Fax Number | 7709288452 |
| Mailing Telephone | 7709288450 |
| Mailing Fax Number | 7709288452 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Authorized Official Name | MR. ANTONIO MENDOZA (OFFICE MANAGER) |
| Authorized Official Telephone | 7709288450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica Santa Maria 2, LLC | Doing Business As Name - Organization |
| Street Address |
6158 HIGHWAY 92 STE 101 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600565 | Clinica Santa Maria LLC | Clinic/Center | 6158 Highway 92 Ste 101, Acworth, GA 30102-2332 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658327 | Antony Irungu Mwangi | Family Medicine | 4812 Thicket Path Nw, Acworth, GA 30102-7966 | 2017-09-22 |
| 1144458266 | Physicians Immediate Med of Acworth, P.C. | Family Medicine | 3540 Cobb Parkway Nw, Acworth, GA 30101 | 2009-06-26 |
| 1851504641 | Katsiaryna Chuprasava | Family Medicine | 2487 Cedarcrest Rd Ste 714, Acworth, GA 30101 | 2007-05-08 |
| 1457576456 | Cheryl Ashley Trowell | Family Medicine | 4900 Ivey Rd Nw Ste 1201, Acworth, GA 30101-4112 | 2007-04-16 |
| 1215025697 | Harnish Patel | Family Medicine | 4465 Lemon St, Acworth, GA 30101-5418 | 2006-10-10 |
| 1881605152 | Reden C Delgado | Family Medicine | 4900 Ivey Rd Nw Ste 1301, Acworth, GA 30101-4112 | 2006-08-11 |
| 1053328294 | Mark D Salsberry | Family Medicine | 2487 Cedarcrest Rd, Suite 714, Acworth, GA 30101-2728 | 2006-08-01 |
| 1962477307 | James Elsbree | Family Medicine | 1685 Mars Hill Rd Nw, Bldg 200, Suite 201, Acworth, GA 30101-7179 | 2006-02-21 |
| 1659378412 | David T Derrer | Family Medicine | 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | 2005-07-07 |
| 1417334285 | Sydne Danielle Ford | Family Medicine | 4791 S Main St, Acworth, GA 30101-5324 | 2015-04-30 |
| Find all providers in ACWORTH | ||||
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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.