Edward S Gronka (NPI# 1306838099, PAC ID# 0446260012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1306838099 |
| PAC ID by PECOS | 0446260012 |
| Professional Enrollment ID | I20120118000503 |
| Full Name | Edward S Gronka |
| Organization Legal Name | ADVANCED AESTHETICS, P.C |
| Address |
874 W Lanier Ave Suite 100 Fayetteville GA 30214-7659 |
| Phone Number | 7704614000 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 0840271482 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 | 7704614000 | ADVANCED AESTHETICS, P.C |
| Organization Legal Name | ADVANCED AESTHETICS, P.C |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel M Stewart Jr. | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Paul D Feldman | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Joseph Raniere | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Street Address |
874 W LANIER AVE SUITE 100 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-7659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel M Stewart Jr. | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Alvin Clair | Dermatology | 874 W Lanier Ave, Suite 270, Fayetteville, GA 30214-7617 | |
| Catherine Mauney | Nurse Practitioner | Truffles Vein Center LLC | 874 W Lanier Ave, Suite 120, Fayetteville, GA 30214-7617 |
| Paul D Feldman | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Joseph Raniere | Plastic and Reconstructive Surgery | Advanced Aesthetics, P.c | 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214-7659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | FAYETTEVILLE + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Edward S Gronka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.