CONSERVATIVE SPINE & JOINT CENTER, LLC (NPI# 1932549540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932549540 |
| Entity Type | Organization |
| Organization Name | CONSERVATIVE SPINE & JOINT CENTER, LLC |
| Practice Address |
720 Old Snellville Hwy Suite150 Lawrenceville GA 30044-6216 |
| Mailing Address |
516 Sosebee Farm Rd Unit 159 Grayson GA 30017-0103 |
| Practice Telephone | 7706014340 |
| Practice Fax Number | 7709781324 |
| Mailing Telephone | 7706014340 |
| Mailing Fax Number | 6784421324 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | DR. RUBEN DIAZ (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6782320109 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
720 OLD SNELLVILLE HWY SUITE150 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336261189 | Caz Goodman | Chiropractor | 720 Old Snellville Hwy, Ste 150, Lawrenceville, GA 30044-6201 | 2007-04-04 |
| 1992946792 | Georgia Urology Pa | Urology | 720 Old Snellville Hwy, Suite 100, Lawrenceville, GA 30044-6216 | 2009-03-09 |
| 1083851497 | Georgia Urology Gwinnett Asc | Clinic/Center | 720 Old Snellville Hwy, Suite 100, Lawrenceville, GA 30044-6216 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952508665 | Gerald Chai | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2007-06-27 |
| 1033211255 | Madhu Jain | Physical Medicine & Rehabilitation | 2381 Lawrenceville Road, Lawrenceville, NJ 08648 | 2006-09-01 |
| 1831663095 | Amber Newlin | Physical Medicine & Rehabilitation | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-21 |
| 1417354481 | Avanava PC | Physical Medicine & Rehabilitation | 2381 Lawrenceville Rd, St.lawrence Rehabilitation Center, Doctors Offices, Lawrenceville, NJ 08648-2025 | 2014-11-19 |
| 1326392648 | An Duy Do | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2012-11-08 |
| 1336327279 | Matthias Heinz Wiederholz | Physical Medicine & Rehabilitation | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2008-02-02 |
| 1871789214 | Gabriel Marrero | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2007-09-19 |
| 1548388697 | Complete Physical Therapy & Diagnostic Center, LLC | Physical Medicine & Rehabilitation | 555 Old Norcross Rd, Suite 100, Lawrenceville, GA 30045-8716 | 2007-03-27 |
| 1619050036 | Kevin Mcguigan | Physical Medicine & Rehabilitation | 2381 Lawrenceville Road, Lawrenceville, NJ 08648 | 2006-10-21 |
| 1497837538 | Charles M Terry | Physical Medicine & Rehabilitation | 2381 Lawrenceville Rd, Lawrenceville, NJ 08648 | 2006-10-19 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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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.