NORTHSIDE CARDIOVASCULAR INSTITUTE LLC (NPI# 1962060368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962060368 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE CARDIOVASCULAR INSTITUTE LLC |
| Practice Address |
1110 W Peachtree St Nw Ste 920 Atlanta GA 30309-3609 |
| Mailing Address |
1000 Johnson Ferry Road, N.e. Attn: Jorge Hernandez Atlanta GA 30342-1606 |
| Practice Telephone | 4048516378 |
| Mailing Telephone | 4048516378 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | MR. JORGE J. HERNADEZ (VP ADMIN & SVCS. / CCO) |
| Authorized Official Telephone | 4048516378 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
1110 W PEACHTREE ST NW STE 920 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532311 | Cindy Lee Grines | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2006-03-21 |
| 1932634060 | Christy Chandler Turk | Nurse Practitioner | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2017-04-26 |
| 1780947390 | Fredy Hany-alfy El Sakr | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2012-06-19 |
| 1114295623 | Cynthia M. Cox | Nurse Practitioner | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2011-12-12 |
| 1780893073 | Mehrdad Seilanian Toosi | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-05-22 |
| 1669698510 | Allison G Dupont | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-04-18 |
| 1801910393 | Michele Doughty Voeltz | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-03-19 |
| 1669504353 | Christopher Robert Leach | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-03-09 |
| 1215080411 | Andrew D Yen | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-01-19 |
| 1245348390 | Mark A Matthews | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2006-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.