DR. BLANCA ILEANA DURAND (NPI# 1902802689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902802689 |
| Entity Type | Individual |
| Full Name | DR. BLANCA ILEANA DURAND |
| Credential | M.D. |
| Practice Address |
1101 Hospital Dr Ste 100a Stockbridge GA 30281-9076 |
| Mailing Address |
1240 Highway 54 W Ste 700 Fayetteville GA 30214-4565 |
| Practice Telephone | 7704747416 |
| Practice Fax Number | 7703896210 |
| Mailing Telephone | 7704747416 |
| Mailing Fax Number | 7703896210 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
046956 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00825382 | 05 |
| Street Address |
1101 HOSPITAL DR STE 100A |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336344142 | Wendy M Harris | Nurse Practitioner | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2007-06-20 |
| 1740407550 | Eagles Landing Pediatric Associates LLC | Clinic/Center | 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281-9075 | 2007-04-20 |
| 1497836456 | Arthritis Research & Treatment Center | Internal Medicine | 1101 Hospital Dr, Suite 200, Stockbridge, GA 30281-9075 | 2006-10-18 |
| 1154331676 | Andrea Hood Stack | Audiologist | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2006-08-08 |
| 1376565887 | Christina Zane Luczynski | Audiologist | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2006-07-24 |
| 1841281391 | Southern Crescent Ent, P.C. | Otolaryngology | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2005-11-03 |
| 1093706426 | Steven W Leard | Pediatrics | 1101 Hospital Dr, Suite 210, Stockbridge, GA 30281-9075 | 2005-11-03 |
| 1780680462 | Michael Anthony Avidano | Otolaryngology | 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | 2005-06-27 |
| 1598761280 | Harold William Moss | Otolaryngology | 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281391 | Southern Crescent Ent, P.C. | Otolaryngology | 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295551 | Johns Creek Ent PC | Otolaryngology | 4045 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1253 | 2006-02-20 |
| 1215928239 | Jennifer L. Tirino | Otolaryngology | 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1171 | 2005-10-31 |
| 1861493819 | Terrence Patrick Murphy | Otolaryngology | 5555 Peachtree Dunwoody Road, Suite G-51, Atlanta, GA 30342-1700 | 2005-08-02 |
| 1699250571 | Miriam Featherstone | Otolaryngology | 550 Peachtree St Ne Fl 9, Atlanta, GA 30308-2212 | 2018-09-26 |
| 1487041653 | Mohammad Seyyedi | Otolaryngology | 1120 15th Street, Augusta, GA 30912-0004 | 2015-04-24 |
| 1609090075 | Terrence P. Murphy, M.d., P.C. | Otolaryngology | 5555 Peachtree Dunwoody Road, Suite G-51, Atlanta, GA 30342-1700 | 2007-04-13 |
| 1578631255 | Ronald Leif Steenerson | Otolaryngology | 980 Johnson Ferry Rd, Suite 470, Atlanta, GA 30342 | 2006-12-01 |
| 1013942291 | William H Moretz | Otolaryngology | 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651 | 2006-07-12 |
| 1184651523 | Southern Otologic Clinic PC | Otolaryngology | 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651 | 2006-06-28 |
| 1447225404 | Fermin V Stewart | Otolaryngology | 4045 Johns Creek Pkwy, Suite C, Suwanee, GA 30024-1253 | 2006-02-22 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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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.