DR. INGRID S VAN ORDEN (NPI# 1891741773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891741773 |
| Entity Type | Individual |
| Full Name | DR. INGRID S VAN ORDEN |
| Credential | MD |
| Practice Address |
1875 Century Blvd Ne Suite 150 Atlanta GA 30345-3319 |
| Practice Telephone | 4046334595 |
| Practice Fax Number | 4046336637 |
| Mailing Telephone | 4046334595 |
| Mailing Fax Number | 4046336637 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036894 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00635775 | 05 |
| Street Address |
1875 CENTURY BLVD NE SUITE 150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990317 | Julia Pendergrast Berry | Nurse Practitioner | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3325 | 2012-04-03 |
| 1316220130 | Raseefa Anwar | Pediatrics | 1875 Century Blvd Ne, Pediatrics, Atlanta, GA 30345-3325 | 2011-09-28 |
| 1144425588 | Jessalyn Elizabeth Meeks | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3325 | 2007-06-16 |
| 1821208026 | Jennifer Shu | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2007-05-23 |
| 1497865935 | Childfren's Medical Group, P.C. | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-08-30 |
| 1326088436 | Nancy F Cherson | Physician Assistant | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1528008604 | Christine Y Furr | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1265472351 | Kevin J Colton | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1083654008 | James S Cox | Pediatrics | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
| 1538109897 | Suzanne Mohiuddin | Nurse Practitioner | 1875 Century Blvd Ne, Suite 150, Atlanta, GA 30345-3319 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588219810 | Dayana Regis | Pediatrics | 808 York Ave Sw, Atlanta, GA 30310 | 2019-08-04 |
| 1922660547 | Taylor Noelle Hemmerick | Pediatrics | 312 Highland Square Dr Ne, Atlanta, GA 30306-2283 | 2019-07-03 |
| 1710499983 | Muin Joseph Khoury | Pediatrics | 1923 Mercedes Ct Ne, Atlanta, GA 30345-3939 | 2017-10-27 |
| 1730602459 | Brandi Jo Middour-oxler | Pediatrics | 1605 Chantilly Dr Ne Ste 305, Atlanta, GA 30324-3267 | 2017-07-25 |
| 1043743354 | Sally Azer | Pediatrics | 2015 Uppergate Drive 423b, Atlanta, GA 30322-1910 | 2017-04-05 |
| 1588027502 | Lauren Roach | Pediatrics | 2015 Uppergate Drive Rm 534, Atlanta, GA 30322-0001 | 2016-03-29 |
| 1760858252 | Baybol Pediatrics LLC | Pediatrics | 9 Dunwoody Park Ste 126, Atlanta, GA 30338-6712 | 2015-08-19 |
| 1174919500 | John Charles Watson | Pediatrics | 2616 Varner Dr Ne, Atlanta, GA 30345-1559 | 2015-04-13 |
| 1679967582 | Elizabeth Sinclair | Pediatrics | Pediatric Divisions of Gi and Transplant Hepatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322 | 2015-03-28 |
| 1447644430 | Juhi Jain | Pediatrics | 2015 Uppergate Drive Emory Children's Center #400, Atlanta, GA 30322 | 2015-03-27 |
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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.