PAUL D. MCCLUSKEY (NPI# 1881898344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881898344 |
| Entity Type | Individual |
| Full Name | PAUL D. MCCLUSKEY |
| Credential | MD |
| Practice Address |
960 Johnson Ferry Rd Ne Suite 245 Atlanta GA 30342-1631 |
| Practice Telephone | 4044990111 |
| Practice Fax Number | 4044990114 |
| Mailing Telephone | 4044990111 |
| Mailing Fax Number | 4044990114 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 60773 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INSTITUTIONAL PERMIT | BP1-0026739 | 01 |
| Street Address |
960 JOHNSON FERRY RD NE SUITE 245 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112198 | Alan I Segal | Audiologist | 960 Johnson Ferry Rd Ne, Ste 200, Atlanta, GA 30342-1631 | 2005-05-23 |
| 1245628957 | Maryann Reuben | Specialist/Technologist, Other | 960 Johnson Ferry Rd Ne, Suite 120, Atlanta, GA 30342 | 2015-01-05 |
| 1679917835 | Comprehensive Internal Medicine At Northside | Internal Medicine | 960 Johnson Ferry Rd Ne, Suite 543, Atlanta, GA 30342-1631 | 2013-04-18 |
| 1881957553 | Allison M Sugg | Physician Assistant | 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 | 2012-06-19 |
| 1922392190 | Center for Pediatric Wellness, P.C. | Pediatrics | 960 Johnson Ferry Rd Ne, Suite 315, Atlanta, GA 30342-1631 | 2011-06-06 |
| 1780910737 | Faraa Mobini | Physician Assistant | 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 | 2009-10-27 |
| 1376779322 | Village Podiatry Group, P.C. | Podiatrist | 960 Johnson Ferry Rd Ne, Suite 310, Atlanta, GA 30342-1631 | 2009-06-04 |
| 1255597282 | Plastic Surgery Institute of Atlanta, P.C. | Plastic Surgery | 960 Johnson Ferry Rd Ne, Suite 245, Atlanta, GA 30342-1631 | 2008-07-30 |
| 1912165382 | Mervyn B Forman Md, L.l.c | Internal Medicine | 960 Johnson Ferry Rd Ne, Ste 530, Atlanta, GA 30342-1631 | 2008-06-02 |
| 1275722811 | Raymond V. Caputo, M.d.,p.c. | Dermatology | 960 Johnson Ferry Rd Ne, Suite 226, Atlanta, GA 30342-1631 | 2007-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706328 | Nij, LLC | Plastic Surgery | 3280 Howell Mill Rd Nw Ste 200, Atlanta, GA 30327-4100 | 2020-03-24 |
| 1629623558 | Dipsy Parikh | Plastic Surgery | 3150 Roswell Rd Ne Ste B1, Atlanta, GA 30305-2572 | 2019-08-07 |
| 1821564352 | Southern Surgical Group LLC | Plastic Surgery | 1266 W Paces Ferry Rd Nw Ste 231, Atlanta, GA 30327-2306 | 2018-10-23 |
| 1942737911 | Brian Stenberg | Plastic Surgery | 1117 Perimeter Ctr Ste 502, Atlanta, GA 30338-5451 | 2017-05-21 |
| 1558716225 | Jonathan Nguyen | Plastic Surgery | 550 Peachtree Street, Se, 8th Floor, Suite 4300, Atlanta, GA 30308 | 2016-04-29 |
| 1265844617 | Stephanie Elysse Farber | Plastic Surgery | 5673 Peachtree Dunwoody Rd Ste 420, Atlanta, GA 30342-1774 | 2014-05-20 |
| 1124461447 | Andrew L. Weinstein | Plastic Surgery | 3200 Downwood Cir Nw Ste 640, Atlanta, GA 30327-1624 | 2013-04-17 |
| 1356685895 | Sanjeev Kaila | Plastic Surgery | 444 Highland Ave Ne, Suite Number G 100, Atlanta, GA 30312 | 2012-11-21 |
| 1922319755 | Victor Chien | Plastic Surgery | 550 Peachtree Street Northwest, Suite 9000, Atlanta, GA 30308 | 2010-06-26 |
| 1922338938 | Faramarz Movagharnia | Plastic Surgery | 200 Galleria Pkwy Se Ste 590, Atlanta, GA 30339-5964 | 2010-01-14 |
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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.