Rebecca Radke (NPI# 1477832525, PAC ID# 5991975724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477832525 |
| PAC ID by PECOS | 5991975724 |
| Professional Enrollment ID | I20110902000165 |
| Full Name | Rebecca Radke |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Address |
993 Johnson Ferry Rd Suite C120 Atlanta GA 30342-4748 |
| Phone Number | 4047807860 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739189838 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 | 4047807860 | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE CARDIOVASCULAR PROFESSIONAL SERVICES,LLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Mary E Bergh | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Niraj Sharma | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Faresa Z Weragoda | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | 4800 Olde Towne Pkwy, Suite 420, Marietta, GA 30068-4424 |
| Yirima Simon | Physician Assistant | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Lois A Fairfield | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 3000 Hospital Blvd, Roswell, GA 30076-4915 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Carolyn M Moore | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 |
| Gordon Jerome Azar Jr. | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Street Address |
993 JOHNSON FERRY RD SUITE C120 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-4748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Albin | Pulmonary Disease | Northside Primary Care Professional Services,llc | 993 Johnson Ferry Rd, Suite C300, Sandy Springs, GA 30342-1658 |
| David E. Westerman | Pulmonary Disease | Northside Primary Care Professional Services,llc | 993 Johnson Ferry Rd, Suite C300, Sandy Springs, GA 30342-1658 |
| Alexis J Hebert | Nurse Practitioner | Northside Primary Care Professional Services,llc | 993 Johnson Ferry Rd, Suite C300, Sandy Springs, GA 30342-1658 |
| Linda Jeanne Kelly | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | 993 Johnson Ferry Rd, Suite C120, Atlanta, GA 30342-4748 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATLANTA + NURSE PRACTITIONER |
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| 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.