DR. DANNY JOSE SOARES (NPI# 1952568370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952568370 |
Entity Type | Individual |
Full Name | DR. DANNY JOSE SOARES |
Practice Address |
4553 N Shallowford Rd Suite 20b Atlanta GA 30338-6408 |
Mailing Address |
1402 Azalea Garden Dr Dunwoody GA 30338-7909 |
Practice Telephone | 7704576303 |
Mailing Telephone | 2035180201 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2013-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
69259 | GA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4553 N SHALLOWFORD RD SUITE 20B |
City | ATLANTA |
State | GA |
Zip Code | 30338-6408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396738712 | Melvin N Abend Md PC | Surgery | 4553 N Shallowford Rd, Ste 40b, Atlanta, GA 30338-6408 | 2005-08-31 |
1386062255 | Northside Hospital, Inc. | Clinic/Center | 4553 N Shallowford Rd, Ste. 60-c, Atlanta, GA 30338-6408 | 2014-03-28 |
1992918858 | Bharati B Gandhi | Physical Medicine & Rehabilitation | 4553 N Shallowford Rd, Suite 70 C, Atlanta, GA 30338-6408 | 2007-05-08 |
1053325597 | Raj K Gandhi | Surgery | 4553 N Shallowford Rd, Ste 70c, Atlanta, GA 30338 | 2006-07-28 |
1710901640 | Daniel S Goodman | Internal Medicine | 4553 N Shallowford Rd, Suite 30-b, Atlanta, GA 30338-6408 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
Find all providers in zip 30338 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619214343 | Kalos Surgical Associates LLC | Otolaryngology | 5670 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342-1699 | 2013-01-15 |
1417283094 | Arnold Zweig | Otolaryngology | 1100 Lake Hearn Dr Ne, Suite 410, Atlanta, GA 30342-1523 | 2009-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083117469 | Southeast Regional Primary Care Corporation | Otolaryngology | 1707 Meadows Ln Ste C, Vidalia, GA 30474-7201 | 2018-03-13 |
1023259454 | Facesfirst,llc | Otolaryngology | 1741 Patriots Way Nw, Kennesaw, GA 30152-4859 | 2009-03-15 |
1962652164 | The Nguyen Group | Otolaryngology | 5164 Buford Hwy Ne, Suite 100, Doraville, GA 30340-1105 | 2008-09-24 |
1063600914 | Atlanta Institute for Ent | Otolaryngology | 5745 Clarion St Ste B62, Cumming, GA 30040-0305 | 2007-10-04 |
1164552220 | Michael Edward Powell | Otolaryngology | 1702 Bent Pine Ln, Statham, GA 30666-2602 | 2007-03-07 |
1811961618 | Robinson W Schilling Jr. | Otolaryngology | 340 North Belair Rd, Evans, GA 30809 | 2006-02-16 |
1588637227 | Alan B Whitehouse | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
1427041631 | Raymond Howard IIi | Otolaryngology | 107 John Maddox Drive, Rome, GA 30165-1494 | 2005-08-24 |
1366858185 | Enti Anesthesia, LLC | Otolaryngology | 1595 Highway 34 E, Newnan, GA 30265-2353 | 2014-07-02 |
1700042132 | Preston Leigh Imhof | Otolaryngology | 2675 N Decatur Rd, Suite 707, Decatur, GA 30033-6131 | 2008-08-05 |
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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.