Dorian L Jimenez (NPI# 1952397119, PAC ID# 3274565866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1952397119 |
| PAC ID by PECOS | 3274565866 |
| Professional Enrollment ID | I20050902000620 |
| Full Name | Dorian L Jimenez |
| Organization Legal Name | A. LOUIS JIMENEZ, DPM, PC |
| Address |
2220 Wisteria Dr Suite 202 Snellville GA 30078-4604 |
| Phone Number | 7709790900 |
| Gender | M |
| Credential | DPM |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3274564109 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1150 Hammond Dr, E600, Atlanta, GA 30328-8604 | 6783953628 | A. LOUIS JIMENEZ, DPM, PC |
| 6610 Mcginnis Ferry Rd, Suite 200, Duluth, GA 30097-3524 | 7704971017 | A. LOUIS JIMENEZ, DPM, PC |
| 2220 Wisteria Dr, Suite 202, Snellville, GA 30078-4604 | 7709790900 | A. LOUIS JIMENEZ, DPM, PC |
| Organization Legal Name | A. LOUIS JIMENEZ, DPM, PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angel L Jimenez | Podiatry | A. Louis Jimenez, Dpm, PC | 1150 Hammond Dr, E600, Atlanta, GA 30328-8604 |
| Street Address |
2220 WISTERIA DR SUITE 202 |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-4604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | PODIATRY |
| City + Specialty | SNELLVILLE + PODIATRY |
Please comment or provide details below to improve the information on Dorian L Jimenez.
| 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.