WALTER CARL EHRENFEUCHTER (NPI# 1912968223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912968223 |
| Entity Type | Individual |
| Full Name | WALTER CARL EHRENFEUCHTER |
| Credential | DO |
| Practice Address |
625 Old Peachtree Rd Nw Suite 104 Suwanee GA 30024-2937 |
| Practice Telephone | 6782257485 |
| Practice Fax Number | 6782257489 |
| Mailing Telephone | 6782257485 |
| Mailing Fax Number | 6782257489 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS004445L | PA | Allopathic & Osteopathic Physicians |
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 057453 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
625 OLD PEACHTREE RD NW SUITE 104 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457349094 | Sara Wilson Reece | Pharmacist | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2005-10-07 |
| 1649879677 | Savannah Sanders | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-10-21 |
| 1508463571 | Vy Thy Ngo | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-10-02 |
| 1114534492 | Ngoc Tram Dang | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-09-30 |
| 1174135420 | Nyce Keiyoro | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-18 |
| 1225649866 | Sonia Lal | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-16 |
| 1265043145 | Jessica Irene Larosa | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-13 |
| 1275144180 | Kelley Davis | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-13 |
| 1033729538 | Rachael Leah Brooks | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-09 |
| 1144830589 | Abbey Stewart | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306997861 | Murray R Berkowitz | Neuromusculoskeletal Medicine & OMM | 625 Old Peachtree Rd, Nw, Suite 104, Suwanee, GA 30024-2937 | 2007-01-12 |
| 1083053201 | Kristie Petree | Neuromusculoskeletal Medicine & OMM | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544158 | Neurological Institute for Concussion and Headache | Neuromusculoskeletal Medicine & OMM | 11650 Alpharetta Hwy Ste 100, Roswell, GA 30076-3805 | 2019-08-21 |
| 1720359433 | Francois Lecoin | Neuromusculoskeletal Medicine & OMM | 502 Dragonfly Ct, Cumming, GA 30040-7719 | 2012-01-26 |
| 1841567922 | Elizabeth Harrill Willets | Neuromusculoskeletal Medicine & OMM | 2370 Bexford Vw, Cumming, GA 30041-7294 | 2011-11-17 |
| 1639349764 | Sandi Jacquelyn Stephens | Neuromusculoskeletal Medicine & OMM | 431 W Ponce De Leon Ave, Suite 7, Decatur, GA 30030-2458 | 2008-03-05 |
| 1144498882 | Suzanne C Easley | Neuromusculoskeletal Medicine & OMM | 327 Dahlonega St Ste A902, Cumming, GA 30040-2492 | 2008-02-15 |
| 1659575900 | Shawne Elaine Murray | Neuromusculoskeletal Medicine & OMM | 5150 Roswell Rd Ne, Atlanta, GA 30342-2208 | 2007-06-12 |
| 1003980848 | Richard Hendry Armond IIi | Neuromusculoskeletal Medicine & OMM | 354 Arcado Rd Nw, Ste 3, Lilburn, GA 30047-2815 | 2006-11-20 |
| 1891756326 | Luckana Chaya | Neuromusculoskeletal Medicine & OMM | 3625 Sope Creek Farm Se, Marietta, GA 30067-5175 | 2006-04-02 |
| 1073598488 | Marietta Neurology and Headache Center, PC | Neuromusculoskeletal Medicine & OMM | 780 Canton Rd, Ste 400, Marietta, GA 30060-7298 | 2005-12-08 |
| 1689658585 | Cornelius Edward Freeman | Neuromusculoskeletal Medicine & OMM | 8513 Heatherwood Dr, Savannah, GA 31406-6238 | 2005-12-04 |
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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.