DR. FRED ALAN LEVIN (NPI# 1962420083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962420083 |
| Entity Type | Individual |
| Full Name | DR. FRED ALAN LEVIN |
| Credential | M.D. |
| Practice Address |
1269 Wellbrook Cir Ne Conyers GA 30012-3873 |
| Mailing Address |
3187 Bolero Way Atlanta GA 30341-5762 |
| Practice Telephone | 7709220505 |
| Practice Fax Number | 7709221870 |
| Mailing Telephone | 7709220505 |
| Mailing Fax Number | 7709221870 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
022434 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00222219A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982774675 | Fred Michael Levin | Psychologist | 111 North Wabash Avenue, #1022, Chicago, IL 60602-3132 | 2006-11-09 |
| 1053747717 | Fred Jack Levin | Dentist | 131 Foxshire Dr, Lancaster, PA 17601-3983 | 2013-09-25 |
| Street Address |
1269 WELLBROOK CIR NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164448452 | Abraham Steven Mcintosh | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-13 |
| 1558899682 | East Atlanta Endoscopy Centers, LLC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-06-02 |
| 1699213363 | Carolyn Monique Hubbard | Nurse Practitioner | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-02-02 |
| 1063782696 | Mak Anesthesia Westside LLC | Anesthesiology | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2012-01-12 |
| 1598052094 | Eric D. Davis | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2011-07-05 |
| 1306965934 | Rosirma Corney | Physician Assistant | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-03-28 |
| 1518009430 | Wellbrook Endoscopy Center, PC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-02-14 |
| 1295824175 | David Neal Socoloff | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-10-11 |
| 1942229729 | Karen Lynne Weiss-schorr | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1114260833 | Shahzad Ahmed | Internal Medicine | 1301 Sigman Rd Ne Ste 170, Conyers, GA 30012-3923 | 2013-04-01 |
| 1164448452 | Abraham Steven Mcintosh | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-13 |
| 1275872632 | Colon & Digestive Health Specialists LLC | Internal Medicine | 1380 Milstead Ave Ne, Ste C, Conyers, GA 30012-3864 | 2013-02-05 |
| 1598052094 | Eric D. Davis | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2011-07-05 |
| 1265693873 | Ekinadese Aburime | Internal Medicine | 1301 Sigman Rd Ne, Suite 190, Conyers, GA 30012-3812 | 2008-06-17 |
| 1710199831 | Nader A Dbouk | Internal Medicine | 1501 Milstead Rd Ne, Suite 120, Conyers, GA 30012 | 2007-05-03 |
| 1700946258 | Karim Shakoor, M.d.,p.c. | Internal Medicine | 1380 Milstead Ave Ne, Suite-c, Conyers, GA 30012-3864 | 2006-12-12 |
| 1295824175 | David Neal Socoloff | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-10-11 |
| 1952412579 | Karim K Shakoor | Internal Medicine | 1380 Milstead Ave Ne, Suite C, Conyers, GA 30012-3864 | 2006-08-31 |
| 1942229729 | Karen Lynne Weiss-schorr | Internal Medicine | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2006-07-19 |
| Find all providers in CONYERS | ||||
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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.